STAT+: CVS Health sees Medicare Advantage patients seek more care, eating into profits
Medicare Advantage members continue to go to the doctor and get health care procedures a…
Category: Medicare
Opinion: Cost isn’t the only reason Medicare doesn’t cover Wegovy
Few medications have captured the national attention like Wegovy — and for good reason. In…
STAT+: What to expect from hospitals and health insurers at this year’s JPM Healthcare Conference
Nonprofit hospitals often get overshadowed at the J.P. Morgan Healthcare Conference, the health care industry’s…
UnitedHealth’s rehab restrictions, Texas medical school drama, and health care’s biggest profits
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of…
An ugly fight over care for the poor in Texas
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
STAT+: UnitedHealth used secret rules to restrict rehab care for seriously ill Medicare Advantage patients
Health insurance giant UnitedHealth Group used secret rules to restrict access to rehabilitation care requested…
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STAT+: Philips pays $2.4 million for allegedly giving kickbacks to sleep labs
Philips agreed to pay $2.4 million to settle allegations that the free masks it gave…
Opinion: STAT readers on patient advocacy, the utility of diagnostic tests, and more
STAT now publishes selected Letters to the Editor received in response to First Opinion essays…
STAT+: Venture capital is still pouring into drug research despite Medicare price negotiation
WASHINGTON — Venture capitalists are still pouring money into drug research in spite of Medicare’s…
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Morning Rounds: Our newsroom’s favorite stories of 2023
Understand how science, health policy, and medicine shape the world everyday. Sign up for our…
Opinion: Why haven’t health care cost increases exceeded inflation? There’s a very good reason
All Americans are worried about inflation. The prices for housing, clothes and food at the…
STAT+: Biden administration asks judge to toss out Humana’s Medicare Advantage audit lawsuit
The Department of Justice has asked a federal judge to dismiss a lawsuit brought by…
Opinion: STAT readers on teaching medical students about intellectual disabilities, sobering centers, and annual wellness visits
STAT now publishes selected Letters to the Editor received in response to First Opinion essays…
STAT+: Humana used algorithm in ‘fraudulent scheme’ to deny care to Medicare Advantage patients, lawsuit alleges
Medicare Advantage beneficiaries on Tuesday filed a class-action lawsuit alleging that the health insurance giant…
Opinion: It’s time to rethink the Medicare annual wellness visit
In 2011, the Centers for Medicare and Medicaid Services created the annual wellness visit (AWV),…
STAT+: Medicare’s advisory committee isn’t sold on big pay raises for doctors
On Thursday, the Medicare Payment Advisory Commission reviewed Medicare performance data and concluded that despite…
STAT+: Sen. Warren pushes for more data on Medicare Advantage coverage hurdles, denials
A bipartisan group of senators is urging the Biden administration to beef up the amount…
Diabetes ‘epidemic’ gets a Senate hearing
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
STAT+: Stephen Hemsley, UnitedHealth Group board chair, sells nearly $113 million in stock
Stephen Hemsley, the board chair and former CEO of UnitedHealth Group, has sold nearly $113…
Morning Rounds: Couples share high blood pressure, and other health stories you should read today
Understand how science, health policy, and medicine shape the world everyday. Sign up for our…
Opinion: STAT+: A bold approach to pay for weight loss drugs for everyone who needs them
The news about anti-obesity drugs keeps getting better. In November, data presented at the American…
STAT+: Senate panel considers Medicare policy fixes to drug shortages
WASHINGTON — Members of the Senate Finance Committee took their first steps today toward using…
STAT+: Cancer drug shortages won’t get better under Biden’s latest plan
WASHINGTON — President Biden’s new plan to curb drug shortages by boosting domestic drug production…
STAT+: Senate Republicans throw cold water on so-called site-neutral hospital pay cuts
WASHINGTON — On its face, a minor policy to make sure Medicare pays hospitals the…
STAT+: Biden defends Trump-era drug pricing rule on copay accumulators
WASHINGTON — The Biden administration is appealing a court ruling against a Trump-era regulation that…
STAT+: Doctors divide over reforming a secretive panel that determines their Medicare pay
WASHINGTON — Doctors are splitting, specialty by specialty, over whether and how to overhaul a…
Opinion: I worked for CMS. Even I struggle to help family navigate dual eligibility
Three months ago, my aunt Margaret had a stroke. Days before, she was repainting her…
What health policies could hitch a ride on a spending bill?
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
STAT+: UnitedHealth pushed employees to follow an algorithm to cut off Medicare patients’ rehab care
The nation’s largest health insurance company pressured its medical staff to cut off payments for…
STAT+: Medicare’s new pay boost for primary care is angering specialists
WASHINGTON — Doctors are staring down a cut to their Medicare pay next year, and…
Medicare eligibility is tripping up the GOP presidential candidates
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
Ambulance rides for just $100? Government advisers want major billing fixes
A panel of government advisers finally has endorsed ideas for Congress to solve the particularly…
Republicans divided over financial crisis in Medicare
WASHINGTON — Republicans angling for the party’s presidential nomination on Wednesday grappled with the reality…
Sen. Bernie Sanders moves toward another hearing with pharma CEOs
You’re reading the web edition of D.C. Diagnosis. Sign up here to receive this newsletter in your…
STAT+: Government looks to tinker with new caps on Medicare Advantage broker payments
The federal government is proposing to rein in health insurance companies that entice brokers with…
STAT+: HHS secretaries Becerra, Azar face off on lowering drug prices
WASHINGTON — Two very different health secretaries took the stage Monday to defend their presidents’…
STAT+: Medicare moves ahead with more price transparency requirements for hospitals
The federal government is moving forward with a spate of proposals that will force hospitals…
STAT+: Democrats push government to police algorithms in Medicare Advantage
House Democrats are raising concerns with the Biden administration that Medicare Advantage plans need better…
Shrinking COVID vaccine sales has Moderna course-correcting
Want to stay on top of the science and politics driving biotech today? Sign up to get…
STAT+: Medicare proceeds with plan to claw back hospital funds after Supreme Court decision
WASHINGTON — Medicare officials are moving forward with a plan to claw back money from certain…
STAT+: Key Senate panel to consider PBM, drug pricing reform package
WASHINGTON — A key Senate panel announced it will consider more policies to regulate pharmacy…
Opinion: Let’s leverage graduate medical education to increase Medicaid re-enrollment
Lately, we’ve seen two distinct lines at our hospitals. We would all be healthier if…
STAT+: Looking to retain billions, hospitals warn Medicare’s drug payment fix is ‘unlawful’
Hospitals are telling government officials it would be illegal to claw back $7.8 billion as…
Opinion: Do dementia villages actually work? We just don’t know
Recently, dementia villages have gained popularity in Europe and Australia as an all-in-one solution to…
STAT+: UnitedHealth discontinues a controversial brand amid scrutiny of algorithmic care denials
UnitedHealth Group and Optum are getting rid of the name of their tech-driven care management…
STAT+: House committee hearing kicks off potential doctor pay reforms in Medicare
WASHINGTON — The House Energy & Commerce health subcommittee kicked off its first hearing in…
STAT+: Senate Finance targets Medicare Advantage brokers
Senate Finance Committee members from both parties took aim today at insurance brokers that sell…
STAT+: In an unusual arrangement, UnitedHealth’s board chair also owns a personal investment firm
Stephen Hemsley, the former CEO of UnitedHealth Group and its current board chair, also owns…
STAT+: When Medicare paid doctors differently, fewer patients had heart problems
WASHINGTON — Doctors lowered the incidence of heart disease and strokes among their patients when…
STAT+: What to know about this year’s Medicare open enrollment period
It’s the middle of October — the time of year that’s filled with pumpkin spice…