Since the Covid-19 pandemic, Medicare has been paying hospitals to treat patients at home, instead...
What’s Buzzing
Save money, avoid hospital-owned outpatient facilities
One of the ways hospitals are generating more revenue is through ownership of doctors’...
Medicare Advantage offers less care at greater cost
In a paper for JAMA Network, Adam Gaffney et al. suggest the time is ripe for cutting our losses in...
Issues with network adequacy and prior authorization in Medicare...
MedPAC, the Medicare Payment Advisory Commission, just released a report focused in part on...
Medicare will recalculate Medicare Advantage star ratings
Now two court cases in which insurers prevailed are leading the Centers for Medicare and Medicaid...
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...
Medicare Advantage insurers increasingly use step therapy for...
A study by Avalere reveals that health insurers are increasingly delaying and denying drugs to...
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...
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...
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...