STAT+: Chamber of Commerce tries new legal arguments to challenge Medicare drug-price negotiation
WASHINGTON — The U.S. Chamber of Commerce sued the federal government over its new Medicare drug-price…
Category: CMS
STAT+: Democrats blast Biden administration over Alzheimer’s drug plans
WASHINGTON — Ahead of a major Food and Drug Administration meeting on a new Alzheimer’s…
‘Tantamount to extortion:’ Merck sues U.S. government over Medicare negotiation program
WASHINGTON — Merck on Tuesday sued to stop the federal government from implementing a new…
For many who use power wheelchairs, CMS decision just made seat elevation much less expensive
This article is adapted from STAT’s latest report, Decoding Medicare: 10 key coverage decisions and…
Opinion: How to protect PrEP coverage, no matter what happens in Braidwood v. Becerra
Since a Texas judge’s decision dropped earlier this spring, Braidwood v. Becerra has sent shudders…
Opinion: STAT+: An overlooked way to make participants in clinical trials look more like America
A recent report from the National Academies of Sciences, Engineering and Medicine (of which one…
How Medicare’s Aduhelm decision revived old questions about new drugs
This article is adapted from the latest STAT Report: Decoding Medicare: 10 key coverage decisions…
Opinion: Fix the rural physician shortage by expanding support for resident training
As the deans of the two public medical schools in Nevada, we are watching with…
STAT+: Bright Health looks to get out of health insurance entirely
Bright Health Group started as a health insurance company. But it will no longer be…
Biden officials propose slate of Medicaid transparency changes
WASHINGTON — The Biden administration on Thursday rolled out proposals to set national standards for…
STAT+: Medicare official insists drug price negotiation will consider value of drugs
WASHINGTON — When Medicare starts negotiating drug prices, it will take into account how important…
STAT+: Medicare advisers endorse reforms to lower drug spending
In the latest move to address prescription drug pricing, the Medicare Payment Advisory Commission unanimously…
Opinion: The mifepristone debacle is just the latest blow in an ongoing assault on the FDA’s authority
When legislators tour their home states and districts, private sector leaders often tell them: We…
STAT+: Wall Street embraces health insurers after scoring Medicare Advantage payment win
Health insurance companies that participate in Medicare Advantage will retain billions of extra taxpayer dollars…
STAT+: Biden administration goes easy on Medicare Advantage insurers after intense industry lobbying
WASHINGTON — The Biden administration backed off some of its plans to rein in billions…
STAT+: Could a fight over cost-effectiveness upend Medicare drug price negotiation before it’s begun?
WASHINGTON — As Medicare drug price negotiation looms, congressional Republicans are scrambling to push through…
STAT+: Federal Medicaid officials cajole states to auto-enroll beneficiaries as huge coverage losses loom
WASHINGTON — Federal Medicaid officials are working unusually closely with states to avoid enrollment glitches…
STAT+: Medicare may test policy of paying less for accelerated approval drugs
A Medicare official hinted Tuesday that Medicare might test a policy of paying less for…
STAT+: Medicare Advantage insurers to repay billions under final federal audit rule
The federal government will audit Medicare Advantage insurers aggressively under a rule finalized Monday, which…
STAT+: Oscar Health’s CEO on post-hype health insurance and finally turning a profit
Oscar Health has excelled at one thing in particular since its inception a decade ago:…
STAT+: Insurers hint at suing Biden administration over plans for Medicare Advantage audits
Big health insurers who spoke at the J.P. Morgan Healthcare Conference are gearing up to…
STAT+: 3 drug pricing issues to watch in 2023
WASHINGTON — The legislative saga on drug pricing is mostly over for now, but drug…
Priorities pile up for HHS, FDA, CMS, NIH, and other health agencies
WASHINGTON — The nation’s health agencies already have a long to-do list for 2023. Top…
STAT+: Medicare’s home hospital program may soon get a lifeline from Congress. Can it prove its worth?
A Medicare program that allowed approved health systems to bill for hospital care delivered in…
STAT+: Biden administration takes aim at Medicare Advantage care denials, misleading ads
The Biden administration has unveiled its plan for attacking people’s chief concerns about privatized Medicare…
STAT+: New Biden changes to Obamacare coverage for generics splits the industry
WASHINGTON — The Biden administration signaled Monday that it will require health plans on federal…
STAT+: Medicare chief: ‘Door is really open’ on coverage for new Alzheimer’s drug
Medicare is willing to re-evaluate its coverage of Alzheimer’s drugs in light of a new…
STAT+: Congress has a chance to close the FDA’s Theranos loophole
WASHINGTON – Theranos, and the company’s notoriously inaccurate blood tests, could potentially have been stopped…
STAT+: Patient groups push federal government to enforce health care price estimates
People don’t receive bills after going to a grocery store or a mechanic’s shop. They…
A Democratic Senate improves the outlook for Biden health and science priorities, including key nominees
WASHINGTON — The outlook for the White House’s health and science priorities just got a…
STAT+: Bright exits ACA health insurance marketplaces to stay afloat
Bright Health Group is drastically cutting back its health insurance offerings for next year, including…
STAT+: Health insurers are painting a misleading picture of Medicare Advantage savings, experts say
The health insurance industry is continuing its campaign to convince the public that Medicare Advantage…
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STAT+: Humana appeases Wall Street with big projections of Medicare Advantage growth
Humana is targeting ambitious growth of its Medicare Advantage plans and primary care clinics over…
STAT+: Experts urge Medicare to overhaul secretive panel that helps determine doctors’ pay
A heavyweight group of former Medicare officials and payment experts are calling on the federal…
STAT+: Doctors, seniors groups flag concerns with Medicare Advantage
Doctors, patients, and seniors groups are airing new grievances about Medicare Advantage, arguing the growing…
STAT+: In a new lawsuit, pharma-backed patient groups fight federal rule around copay coupons
Three patient advocacy groups are suing the Biden administration to challenge a federal regulation they…
STAT+: As medical device companies look to snap up Medicare dollars, potential conflicts lurk
Medicare is expected to pay more than $86 billion next year for care given in…
STAT+: Biden administration largely stands firm on its method for resolving surprise billing disputes
The Biden administration largely stood firm on its plan for resolving disputes over surprise medical…
STAT+: Medicare offers financial perks for rural hospitals that convert to its new provider type. Will they bite?
The federal government is hashing out the details on a new type of rural hospital,…
STAT+: Medicare wants to stop publishing some hospital safety data next year
Ann MacDonald took painstaking effort to choose the very best surgeon for her mom’s colon…
STAT+: Former top Medicare official says Medicare Advantage’s coding industry offers ‘no benefit to society’
Parts of the Medicare Advantage program — essentially, private Medicare plan options — are ripe…
STAT+: Medicare’s Brooks-LaSure expects restrictions on accelerated approval drugs, like those for Aduhelm, to be ‘very rare’
AUSTIN, Texas – Chiquita Brooks-LaSure, the head of Medicare, said on Thursday that the agency…
STAT+: Biden administration funnels one of the largest-ever pay increases to Medicare Advantage insurers
The federal government is boosting the average payment to Medicare Advantage plans by 5% for…