Your skin is the largest organ in your body. As you age, though you might not become thin-skinned, your skin will inevitably thin. How should you care for your agin skin this summer? Why your skin is...
Diane Archer
Issues with network adequacy and prior authorization in Medicare...
MedPAC, the Medicare Payment Advisory Commission, just released a report focused in part on Medicare Advantage network adequacy and prior authorization issues. People enrolled in Medicare Advantage...
Medicare will recalculate Medicare Advantage star ratings
Now two court cases in which insurers prevailed are leading the Centers for Medicare and Medicaid Services to raise star ratings for some Medicare Advantage plans, without data to show they’ve...
Humana and CVS will raise costs for Medicare Advantage enrollees...
Humana and CVS intend to raise premiums and reduce benefits on their MA plans in 2025, reports Rebecca Pifer for Health Care Dive. They want to increase their profits further, even though the...
Medicare Advantage insurers increasingly use step therapy for...
A study by Avalere reveals that health insurers are increasingly delaying and denying drugs to cancer patients through the use of step therapy, reports Noah Tong for Fierce Healthcare. The American...
Public Citizen urges the Biden administration to keep profiteers...
In a response to a request for information from the Department of Health and Human Services, the Department of Justice (DOJ) and the Federal Trade Commission (FTC), Public Citizen and several dozen...
Congress focuses on health care mergers and Medicare payments
As hospital systems and insurers continue to buy up medical practices and grow ever larger, the consequences for patients and the health care system writ large are serious. In Congress, the House...
Scan Health plan wins suit against CMS on Medicare Advantage...
If you’re shopping for a Medicare Advantage plan, you might look at the number of stars the government has given it. Any Medicare Advantage plan with fewer than four stars should be avoided. But, a...
CVS plans to raise Medicare Rx premiums a lot in 2025
In an op-ed for MarketWatch, Brett Arens’s Roi warns about rising Medicare Part D premiums. The CFO at CVS is alerting people that Medicare Part D premiums will increase significantly in 2025. How...
Will the administration step in to curb prices on drugs...
For more than 30 years, the federal government has failed to rely on the Bayh-Dole Act to reduce the cost of prescription drugs developed with taxpayer dollars. US Senator Elizabeth Warren, along...