STAT+: Hospitals’ push to boost Medicare pay through December faces uncertain fate in the Senate
WASHINGTON — Hospitals successfully lobbied to get a House vote next week to prolong a…
Category: Medicare
Opinion: Incentives and information drive health care innovation: lessons from Medicare Advantage
Health care in America often feels like it moves at a glacial pace, if that…
Opinion: Trump’s ‘most favored nations’ experiment undermines care for millions covered by Medicare
President Trump and other administration officials have talked a big game about their new most…
STAT+: With growing usage and few generics, Medicare spending on inhalers is climbing
Over a recent seven-year period, Medicare Part D spending on inhalers used to control respiratory…
Opinion: Advice for the next CMS administrator’s first 100 days
This week four years ago, I was working for the Centers for Medicare and Medicaid…
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Opinion: CMS’s new rules on organ donation and transplantation ‘will bring chaos’
The United States had a once-in-a-generation opportunity to save countless additional lives each year by…
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STAT Plus: Lawmakers demand drug makers stop threatening to end discounts for safety-net hospitals
Dozens of U.S. lawmakers sent sharply worded letters to the Trump administration and the pharmaceutical…
Opinion: Instead of eliminating drug rebates, use average sales price to set co-insurance levels
Changing key elements of the U.S. health care system can be effective and in the…
Opinion: Covid-19 is accelerating the Medicare trust fund’s dive toward insolvency
The Covid-19 pandemic has claimed another victim: Medicare’s trust fund. The Congressional Budget Office released…
STAT Plus: Drug maker settles charges of offering ‘bogus’ research grants to boost use of its medicine
In the latest imbroglio involving drug makers and kickbacks, Pacira Biosciences (PCRX) has agreed to…
STAT Plus: Health tech companies are shelling out more to lobby Washington during the pandemic
In the first half of 2020, the pandemic spurred a surge in the use of…
Opinion: Health care reform: The ‘new normal’ needs to go beyond clinical care
This is an extraordinarily difficult time to be a physician. As the leaders of state…
Opinion: Regeneron wasn’t making ‘kickbacks.’ It was helping people pay egregious Medicare copays
Last Wednesday, the Department of Justice filed suit against Regeneron for paying ” tens of…
Opinion: To make progress against Covid-19, processes must serve people, not a ‘labyrinth of bureaucratic rules’
By sheer necessity, the Covid-19 pandemic has united health care systems around the common purpose…
STAT Plus: Pharmalittle: Pharma giants plan $1 billion antibiotic venture; Gilead prices remdesivir below most estimates
Good morning, everyone, and welcome to another working week. We hope the weekend respite was…
Opinion: Medicare shouldn’t make ground ambulance services take a financial hit for providing at-home care
Ever since the coronavirus pandemic began sweeping across the U.S., ambulance crews have been treating…
STAT Plus: Pfizer sues Trump administration over anti-kickback rules, saying they prevent it from helping lower seniors’ drug costs
WASHINGTON — Pharmaceutical giant Pfizer is suing the Trump administration over two long-standing Medicare rules…
‘I cant imagine going back’: Medicare leader calls for expanded telehealth access after Covid-19
President Trump’s top Medicare official said Tuesday that expanded access to telemedicine should continue after…
STAT Plus: Trump administration proposes a dramatic payment boost for CAR-T treatments under Medicare
WASHINGTON — The Centers for Medicare and Medicaid Services proposed a major payment bump for…
STAT Plus: A new Trump administration rule could increase out-of-pocket drug costs
Even as prescription drug costs remain an important pocketbook issue for many Americans, the Trump…
STAT Plus: Telehealth rules have shifted rapidly during the pandemic. Are the changes here to stay?
The Trump administration appears to be leaning in favor of permanently expanding telemedicine coverage as…
Trump lifts restrictions on telehealth services for seniors in hopes of limiting coronavirus spread
WASHINGTON — The Trump administration on Tuesday announced an unprecedented expansion of telehealth services for…
STAT Plus: Mallinckrodt loses a court case and is told to pay $650 million in overdue Medicaid rebates
In a setback to Mallinckrodt (MNK), a federal court judge upheld a move by the…
Opinion: Data analysts: a new kind of whistleblower to ‘catch a rogue’?
Most whistleblower cases, regardless of industry, emerge through the bravery and integrity of an employee…
STAT Plus: Will Trump’s new plan to cap insulin costs in Medicare actually save seniors much money? It’s complicated
WASHINGTON — The Trump administration claims its newest plan to cap insulin copays could solve…
STAT Plus: Under pressure, Trump administration looks to cap insulin costs with a Medicare program
The Trump administration announced a new voluntary program that would lower the out-of-pocket cost Medicare…
Opinion: Super Tuesday results suggest that Americans ‘aren’t looking for big structural changes’ in health care
Voters on Tuesday sent several messages, including a key one about health care. Big ideas…
Opinion: Trump’s immigration policies will make the coronavirus pandemic worse
Pandemics have a way of testing us. Throughout history, societies have responded to plagues by…
STAT Plus: Sanofi to pay nearly $12 million for illegally using a charity to pay kickbacks to Medicare patients
Sanofi (SNY) has agreed to pay nearly $11.9 million to resolve allegations that donations paid…
STAT Plus: If Medicare negotiated insulin prices like the VA, it could have saved billions
As insulin becomes a poster child for the growing outcry over the cost of medicines,…
STAT Plus: U.S. officials will let Novartis pay expenses for some Kymriah patients who must travel for treatment
In an unexpected move, the Department of Health and Human Services will allow Novartis (NVS)…
Opinion: Medicare policy on antirejection drugs imperils kidney transplants
For people with failing kidneys — and there are thousands of them in the United…
Opinion: We ventured into the Medicare Part D drug plan forest — and got lost
My wife and I recently became eligible for Medicare’s prescription drug coverage, known as Medicare…
Opinion: Deadline looms to stop the Health Insurance Tax — but Congress has been there before
It has become something of an unintentional tradition in Congress to allow key votes to…
STAT Plus: Lawmakers ask HHS for greater oversight of patient assistance programs
Amid ongoing concern about the use of patient assistance programs by the pharmaceutical industry, two…
STAT Plus: As Trump looks overseas for drug pricing ideas, one expert says France has some useful approaches
As the U.S. grapples with rising costs for prescription medicines, the Trump administration has floated…
Opinion: Protect patient access to drug infusions administered in physician offices
As gastroenterologists, we treat patients in Portland, Ore., and Des Moines, Iowa, with challenging disorders…
Opinion: Policymakers are taking the wrong approach to health care reform
Here’s what good health care looks like: it emphasizes prevention, is accessible and affordable, and…