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Do the New CMS Rules on Prior Authorization Go Far Enough?

No, say some physicians and advocacy groups

Jan 07, 2025
A photo of a male physician on the phone in his office and pointing at his computer monitor.
Opinion
Keep Quality Measures Out of the Exam Room

Patients need space to raise real issues or concerns

Jan 04, 2025
A photo of an examination room in a clinic.
Broccoli Warning Issued; Dr. Oz vs RFK Jr. on Ozempic; Is Moderate Drinking Safe?

Health news and commentary gathered by MedPage Today staff

Jan 02, 2025
Morning Break over illustration of a syringe, Covid virus, and DNA helix over a photo of green vegetation.
Opinion
CMS Moved to Expand Obesity Drug Coverage. Private Insurers Need to Step Up.

GLP-1 drugs remain out of reach for too many Americans

Dec 28, 2024
 A computer rendering of a box of semaglutide injection pens.
Medicare Will Cover Blood Tests to Monitor for Transplant Rejection, for Now

Test advocates awaiting more details from CMS on its coverage policy

Dec 27, 2024
A photo of a technician using a pipette to extract blood from a test tube.
In Settling Fraud Case, N.Y. Medicare Advantage Insurer, CEO Will Pay Up to $100M

It's one of the first to accuse a data mining firm of helping a health plan overcharge

Dec 24, 2024
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Congress Ditched Fix to Medicare Doc Pay Cut in Skinny Budget Bill

One warns of "dangerous game" in continuing Medicare pay cuts

Dec 23, 2024
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Health Spending Up 7.5% in 2023, CMS Says

Spending reached $4.9 trillion, with spending on physician and clinical services up 7.4%

Dec 18, 2024
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Congress Agrees on Tentative Budget Deal; Mostly Reverses Docs' Medicare Pay Cut

Agreement would reduce a 2.8% cut to 0.3%, but doesn't include prior authorization reform

Dec 18, 2024
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MedPAC Members Supportive of Upping Medicare Pay Rates Close to the Inflation Rate

Proposed recommendation would give extra pay bump to providers serving low-income beneficiaries

Dec 12, 2024
 A photo of a female physician holding several $50 bills.
Should Hospitals Be Paid the Same as Doctors' Offices for the Same Service?

"Site-neutral" payment in Medicare is gaining traction in the halls of Congress

Dec 12, 2024
A photo of the Capitol Building in Washington, DC.
Jamie Foxx Reveals Diagnosis; Genital Herpes Prevalence; Dr. Oz's Stand on Medicare

Health news and commentary gathered by MedPage Today staff

Dec 11, 2024
Morning Break over illustration of a syringe, Covid virus, and DNA helix over a photo of green vegetation.
Opinion
Hospitalization Should Not Mean Financial Ruin for Medicare Beneficiaries

Updated policies can help older adults cover the costs of care

Dec 08, 2024
A photo of a man lying in a hospital bed.
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