STAT+: HHS will seek more input on its new Medicare drug price negotiations
WASHINGTON — The Department of Health and Human Services is gearing up to start releasing…
Category: Medicare
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+: Medicare Advantage-focused Oak Street, Agilon Health chart out growth at J.P Morgan
Senior-focused primary care providers Oak Street Health and Agilon Health used their stage time at…
STAT+: 3 drug pricing issues to watch in 2023
WASHINGTON — The legislative saga on drug pricing is mostly over for now, but drug…
STAT+: Medicare would have saved $3.7 billion on Part B drugs if inflationary rebates were around in a recent three-year period
If rebates had been required for price hikes on most of the nearly 100 medicines…
STAT+: 3 trends to watch in hospitals and health insurance in 2023
For almost three years, hospitals and health insurers have been riding the waves of the…
After nine months, an update on NIH’s long Covid research
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
Congress reaches major health policy deal on Medicare, Medicaid, and pandemic preparedness
WASHINGTON — Leaders in Congress have reached a sweeping deal to ease Medicare pay cuts to…
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+: AbbVie exits major pharmaceutical industry lobbying groups
WASHINGTON — The maker of one of the world’s most profitable medicines is exiting the…
STAT+: Nine in 10 health care companies with financial stress are owned by private equity
Almost 90% of the health care companies deemed to be under financial stress by a…
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+: Coming soon: Permanent Covid-19 safety rules for health care workers
The federal agency that oversees workplace safety is moving forward with making certain Covid-19 protections…
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…
Opinion: If you think health care is dysfunctional now, just wait until after January 1
Doctors across the country, especially those in primary care, have been up in arms about…
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…
In a Republican-led House, anti-science probes top the agenda
WASHINGTON — The Covid-19 investigations are coming. When Republicans take control of the House of Representatives…
Opinion: Replace the failure of Medicare Advantage with ‘Medicare Part F’
Medicare Advantage began life as a brilliant idea: a public-private partnership to keep older people…
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…
Medicare’s midterm punts, MA marketing schemes, and a closer look at the Abiomed deal
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
Health and science are on the ballot this election. Here’s what we’re watching
WASHINGTON — The midterm elections this year are centered on weighty topics: the economy looms…
STAT+: Medicare punts on quality rules for new type of rural hospital
Hospitals that decide to convert to a new type of rural provider won’t have to…
STAT+: Physicians rally to avert Medicare payment cuts
The federal government is officially reducing Medicare payments to physicians next year by 4.5%, but…
STAT+: Republican ideas to reform Medicare could rile health care industry
WASHINGTON — Democrats are suddenly blasting Republicans on the campaign trail over a surprising new…
Opinion: Listen: Home health care is facing devastating ‘clawbacks’
Terry Wilcox’s grandmother lived in an isolated house at the top of a hill overlooking…
Opinion: Better access to PET scans can help reduce racial inequities in Alzheimer’s disease
While many Americans are familiar with the devastating impact of Alzheimer’s disease, few understand the…
Medicare is going to cap patients’ spending on drugs. But there’s no such limit for hospital or doctor bills
By 2025, people on Medicare who take expensive medications will feel significant financial relief: They…
Opinion: How states can act to limit drug price increases, saving employers and workers billions
The Inflation Reduction Act of 2022 mandates that Medicare-covered drug sales will be protected from…
Justice Department sues Cigna for allegedly exaggerating conditions of Medicare Advantage members
The Department of Justice filed a new lawsuit against Cigna Monday, alleging the health insurance…
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STAT+: Despite its threats, PhRMA is still supporting Democrats who voted for Medicare negotiation
Drugmakers’ powerhouse lobby did not exactly make good on its early August threat to hold…
Opinion: Medicare’s cuts to home health are a step in the wrong direction
My grandmother lived at the top of a hill overlooking the magical mountains and valleys…
STAT+: Medicare Advantage quality ratings plunge as government resets to pre-pandemic standards
Federal officials significantly reduced the quality scores of next year’s Medicare Advantage plans, a move…
STAT+: Drugmakers will be penalized if they hike prices on patients in private insurance market
WASHINGTON — Democrats’ drug pricing law will still penalize drugmakers if they hike prices on…
Opinion: The new law that could stealthily transform biomedical innovation
Buried deep within the Inflation Reduction Act’s drug-price negotiation provisions is language that could open…
STAT+: Medicare tasks a senior adviser with staffing its new drug pricing division
WASHINGTON — Medicare has tasked a senior adviser at the agency with assembling a small…
STAT+: Errors have plagued insurance directories of doctors. The government wants to clean them up with its own
The federal government wants to create a national directory that houses accurate, up-to-date information for…
Opinion: Listen: Wheelchair users and Medicare disagree on what’s ‘primarily medical in nature’
Modern wheelchairs have amazing capabilities. At the push of a button, they can position a…
Opinion: Medicare needs to cover the full spectrum of care for substance use disorders
Imagine if Medicare covered treatments for stage 1 or stage 4 cancers, but nothing in…
Health funding battles, a nutrition policy overhaul, and two CBD developments
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
Opinion: The Inflation Reduction Act will help the U.S. achieve maximum vaccine access and uptake, but access gaps remain
One of the many achievements in the Inflation Reduction Act (IRA), which President Biden signed…
Medicare Advantage boosterism, providers’ surprise billing savior in Texas, and a health insurance firewall
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
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…
Opinion: Hospital financing in black and white
During our training as doctors, we have rotated through safety-net hospitals, elite academic medical centers,…
A teaching hospital payout, Humana flirts with Wall Street, and new dialysis incentives
You’re reading the web edition of Health Care Inc., STAT’s weekly newsletter following the flow…
Opinion: Surgery needs a new pay model, free from incentives to do more procedures
How will my surgeon get paid? That’s a question few people ask as they think…
Medicare is using one of its biggest hammers to try to fix the dialysis system: how providers are paid
Chronic kidney disease, already a problem affecting millions of Americans, is only expected to become…
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…
Opinion: Congress needs to preserve seniors’ access to pharmacist care
Covid-19 demonstrated how quickly the United States can mobilize to produce and distribute new tests,…
Medicare provides insufficient access to opioid addiction treatment, report finds
Medicare is vastly underserving older Americans with opioid use disorder, with only 18% of enrollees…
Opinion: Medicare needs to update its wheelchair coverage for the 21st century
Both of us have spent much of our lives in wheelchairs. But not just any…