SPOTLIGHT -
July 26th 2024
Open meeting to be held online Aug. 1; independent pharmacies, PBM trade group offer responses to federal reviews.
July 25th 2024
‘Chevron deference’ in legal interpretation falls in ruling expected to have far-reaching consequences across health care, other areas of governance.
July 23rd 2024
Three largest pharmacy benefit manager executives testify in House Oversight Committee.
July 22nd 2024
ACO advocates outline steps for CMS to communicate and change rules regarding patient engagement.
July 19th 2024
Feds’ request for information now lasting into September.
Low-cost physical exams: a slideshow about 12 states with the best prices for patients
If you practice here, your patients are getting a bargain.
HHS Inspector General outlines enforcement actions for second half of fiscal year 2023
Report to Congress details expected recoveries, questioned costs, and potential savings.
Financial implications for physicians when choosing a career path
Young doctors’ early decisions can have profound effects on professional development and retirement. Here are some questions to consider.
Cost for a physical exam: a slideshow of the 12 most expensive states
Here’s the cost of getting into the exam room.
Health care fraud investigations net $1.72B for 2022
HHS, DOJ say COVID-19 was a factor in enforcement during report time period.
ACA Marketplace enrollment already at record 15 million
Federal analysts project 19 million people covered by January 2024 deadline.
AMA chides lawmakers for not changing Medicare Physician Fee Schedule
Proposals, money and 'perpetual hope' are all there. Now action is needed.
Health insurance companies lock up market share across the nation
AMA examines how dominating metro areas has effects on patients and physicians.
U.S. health care spending hits $4.5 trillion in 2022
Physicians, hospitals, prescription drugs at top of list for expenditures.
Concussions in tennis; malnutrition and body mass; federal money for home and community-based services – Morning Medical Update
The top news stories in primary care today.
Consumer prices up slightly in November
Costs for shelter and medical care rose but were offset by falling energy prices
Health care legislation would disclose pricing information, enact site-neutral payment, regulate PBMs
House approves landmark ‘Lower Costs, More Transparency Act.’
Cigna, Humana end merger talks: report
Health insurance giant Cigna announces $10B stock buyback.
Committee sends 19 health care bills for full House consideration
Law could change Medicare Physician Fee Schedule, affecting reimbursement to doctors.
Health care a job leader for November
Federal figures show growth across some industries and declines in others.
President targets high prescription drug prices with ‘march-in’ authority
Public-private partnerships will crumble, hurting drug innovation and eventually patients, Republicans say.
MedPAC mulls over physician compensation through Medicare
December meeting has two days of discussion planned.
Insurance companies manipulating generic prescription drug prices in Medicare: Study
‘The results are alarming,’ with potential financial effects for patients and pharmacies, researchers say.
Potential syringe failures; Senate takes on prescription drug shortages; positive attitude may reduce dementia risk – Morning Medical Update
Fixed indexed annuities—a potent tool for diversifying away from equities
They offer a unique combination of growth potential and safety but are complex, and selecting the right one takes thought and research.
Can hospital ADT notifications change the game for value-based care? One Aledade case study shows what is possible
When hospitals communicate with primary care physicians, good things can happen for patients and their doctors.
Flu vaccines help heart health; respiratory illness on the rise; CMS extends application period for new payment model – Morning Medical Update
CMS extends application deadline for new Making Care Primary program
Value-based care to launch in eight states in July next year.
Health insurance family plans no longer affordable for workers in small business
KFF chief says affordability is part of national crisis in U.S. economy.
Insurance giants Cigna, Humana, explore merger, source says
Medicare Advantage could be a key part of potential transaction.
How to take a performance-driven approach to care management
A better way to improve patient outcomes through care management is possible through data and connected tools.
Benefits of blending population health and hyper-local health barrier strategies to address SDOH
Physicians can improve patient outcomes, accountability, and the financial bottom line through a hybrid focus on social determinants of health.
Reimbursement delays and denials hurt hospital finances
Physicians aren’t the only ones waiting on health insurance companies to pay.
UnitedHealthcare used AI to deny patients’ health insurance coverage, lawsuit says
Class action complaint could involve thousands of people in 21 states.
Kaiser Permanente workers ratify four-year contract
Agreement follows largest health care strike in U.S. history.