Medicare & Medicaid

Health care organizations respond to ‘mixed bag’ bill.

AANP offers five critical health care trends for next year.

ACP also calls for action on prior authorizations.

Respondents citing financial hardship as a reason for non-adherence to asthma medications had nearly double the odds of an asthma attack and more than 60% heightened risk of requiring ED care.

MedPAC starts deliberations on 2026 reimbursement recommendation to Congress.

Rep. Greg Murphy, MD, discusses his bill to stop the planned Medicare reimbursement reduction.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

RAND study found hospitals have increased how frequently they say patients need the highest level of care

The Commonwealth Fund compares United States with other developed nations.

The clock is ticking for lawmakers to approve policies that could affect U.S. health care.

CMS published its list of teaching hospitals awarded Medicare-supported GME positions under Section 126 of CAA, 2021.

O’Neill tapped to serve as deputy secretary, Bhattacharya to lead National Institutes of Health.

Proposals would require more public data on prior authorization processes and whether those advance health equity.

Will it take effect? Biden proposal would be finalized in Trump’s term, and his pick to lead HHS has spoken against antiobesity drugs.

News reports state RFK Jr. could take aim at codes recommended by the American Medical Association.

PCC’s 2024 Evidence Report found primary care-centric ACOs generate more than two times higher savings through data integration.

Jury finds that more than 20,000 false claims were filed

CMS Medicaid chief foreshadows potential policy changes coming when President-elect Trump moves into the White House.

Brooks-LaSure describes achievements in her final national leadership call.

Study shows that most beneficiaries skip comparing Part D plans that might better suit their needs and their wallet

A recent market analysis outlined the lack of adequate health insurer competition in many U.S. markets.

Famed television host will join RFK Jr. ‘to take on the illness industrial complex,’ president-elect says in news reports.

A slideshow with physicians elected to the House of Representatives for the next Congress.

Doctors, ambulatory surgical centers, hospitals all could be affected; plan includes hospital reinvestment for those that need it.

Rep. Greg Murphy, MD, discusses PBMs and new blockbuster antiobesity drugs, and predicts election success for former president Donald Trump.