June 23rd 2025
HHS, CMS leaders announce massive health insurance industry to reform prior authorization across health care.
HHS Secretary RFK Jr. announces changes to cut down on improper enrollments.
June 20th 2025
Out-of-pocket caps protect high spenders, but many others could see their drug costs rise.
June 19th 2025
Trustees project Medicare hospital insurance trust fund will be depleted in 2033, three years earlier than expected.
June 18th 2025
Annual report puts depletion three years ahead of projected schedule in 2024 report.
Value-based payment models: Problematic performance measures
A physician researcher discusses why primary care physicians do not participate in value-based payment models.
'The cuts need to stop'
Rep. Greg Murphy, MD, discusses his bill to stop the planned Medicare reimbursement reduction.
Value-based payment models: Workforce shortages are a problem
Value-based payment: Health systems don’t support doctors
Value-based payment: Or is it fee-for-service? Or both?
Value-based payment: Will it cover the cost of doing business?
Value-based payment: An introduction to a study
Are hospitals upcoding patients to boost revenue?
RAND study found hospitals have increased how frequently they say patients need the highest level of care
Health care for older adults around the world: A slideshow
The Commonwealth Fund compares United States with other developed nations.
Medical organizations call for congressional action as calendar approaches end of 2024
The clock is ticking for lawmakers to approve policies that could affect U.S. health care.
Medicare-supported GME residency positions look to grow the physician workforce and expand health care access
CMS published its list of teaching hospitals awarded Medicare-supported GME positions under Section 126 of CAA, 2021.
Trump announces more leaders for HHS, NIH
O’Neill tapped to serve as deputy secretary, Bhattacharya to lead National Institutes of Health.
Prior authorizations, pharmacy transparency, vertical integration all part of the Medicare 2026 rule
Proposals would require more public data on prior authorization processes and whether those advance health equity.
Medicare announces 2026 plan to cover antiobesity medications
Will it take effect? Biden proposal would be finalized in Trump’s term, and his pick to lead HHS has spoken against antiobesity drugs.
New HHS leader could overhaul Medicare physician reimbursement: reports
News reports state RFK Jr. could take aim at codes recommended by the American Medical Association.
Primary care-centric ACOs generate better savings and better outcomes
PCC’s 2024 Evidence Report found primary care-centric ACOs generate more than two times higher savings through data integration.
Dallas jury finds practice liable for Medicare fraud that could result in more than $300 million in penalties
Jury finds that more than 20,000 false claims were filed
Medicaid ‘at an unprecedented crossroads … progress is at risk,’ program leader says
CMS Medicaid chief foreshadows potential policy changes coming when President-elect Trump moves into the White House.
CMS chief: ‘It is the greatest honor and privilege to serve in this role’
Brooks-LaSure describes achievements in her final national leadership call.
Most Medicare beneficiaries risk overspending on prescription plans
Study shows that most beneficiaries skip comparing Part D plans that might better suit their needs and their wallet
Consumers have faced the challenge of limited health insurance options for the past decade, says AMA report
A recent market analysis outlined the lack of adequate health insurer competition in many U.S. markets.
Trump names Dr. Oz to head CMS
Famed television host will join RFK Jr. ‘to take on the illness industrial complex,’ president-elect says in news reports.
Doctors in the House of Representatives
A slideshow with physicians elected to the House of Representatives for the next Congress.
Senators pitch site-neutral payment policy framework
Doctors, ambulatory surgical centers, hospitals all could be affected; plan includes hospital reinvestment for those that need it.
Reforms needed in Medicare Advantage, cybersecurity, congressman says
Rep. Greg Murphy, MD, discusses PBMs and new blockbuster antiobesity drugs, and predicts election success for former president Donald Trump.
Physicians face a 2.83% reimbursement cut unless Congress takes action
The final CMS rule for the Physician Fee Schedule boosts primary care, but advocacy groups say the reimbursement cuts are untenable.
‘It is just a real gut punch’ – Physician in Congress discusses proposed reduction in Medicare Physician Fee Schedule
Rep. Greg Murphy, MD, is sponsoring legislation to improve Medicare pay to doctors.
Medicare Advantage problems are getting worse, not better, lawmakers say
Senator, representatives send letter asking CMS to increase oversight.
The top concerns of Medicare patients
As open enrollment approaches, a survey of Medicare patients reveals their top concerns about the program
What they’re saying about the Medicare Patient Access and Practice Stabilization Act
Physicians and sponsors in Congress explain why the bipartisan bill is needed.