Install
Please confirm you are human
This browser or connection looks automated. Press and continuously hold the control for 3 seconds to enable Google-hosted web results and, when separately allowed, AI-assisted answers.
A successful check enables 100 search requests. Interactive access does not authorize scraping, systematic collection, or reuse of search output.
News
A billing code was supposed to incentivize relationship-based primary care for Medicare patients. It may not be working as hoped
1+ day, 2+ hour ago (237+ words) Ganguli is an associate professor of medicine, health services researcher, and internal medicine primary care physician at Harvard Medical School and Brigham and Women’s Hospital. Beatrice (not her real name) is here to see me after her fall, but our…...
End of Medicare drug subsidy gives Democrats new attack line on rising out-of-pocket costs
4+ week, 2+ day ago (125+ words) WASHINGTON — The Trump administration will end subsidies for private Medicare drug plans, likely resulting in higher premiums for some older adults right before the midterm elections. Democrats were already campaigning on the approximately $1 trillion in health care cuts in Republicans…...
GOP blocks effort to end Medicare test of AI prior authorization
1+ mon, 1+ week ago (170+ words) John Wilkerson, a Washington correspondent, is the author of D.C. Diagnosis, a twice-weekly newsletter about the politics and policy of health and medicine. WASHINGTON — A Senate vote to halt a Medicare pilot that uses artificial intelligence to approve or deny care…...
In a major policy shift, Medicare proposes to ban vendors from providing remote monitoring services
1+ mon, 1+ week ago (145+ words) Medicare regulators on Tuesday proposed to ban vendors from providing remote patient monitoring services on behalf of doctors, a major policy change for a rapidly growing care model that’s been the subject of increasing scrutiny. The update comes as the…...
Medicare takes another swing at 340B cuts to hospitals
1+ mon, 3+ week ago (166+ words) Medicare wants to slash payments to hospitals for drugs acquired through the 340B drug discount program by more than a third beginning next year, after the agency said its surveys found some patients paid more for the drugs than the hospitals…...
Elevance sues over Medicare Advantage star ratings
1+ mon, 3+ week ago (196+ words) Bob Herman is the author of Health Care Inc., an award-winning weekly newsletter about the business of health and medicine. Elevance Health has sued the U.S. government, alleging that federal efforts to recalculate its Medicare Advantage quality ratings didn’t align with…...
CMS recalculates Medicare Advantage star ratings again, adding more volatility to program
2+ mon, 1+ week ago (136+ words) Federal officials have recalculated the quality ratings for 2026 Medicare Advantage plans, a new government memo shows. The consequential decision was prompted by yet another legal action from the health insurance industry. Medicare Advantage plans that get at least four out…...
A suspicious denial pattern in Medicare Advantage
2+ mon, 2+ week ago (122+ words) statnews.com For those interested in peptides, stem cells, supplements, red light treatments, hyperbaric chambers, body vibration devices, or getting ion balances through walking barefoot — RFK Jr.’s most recent podcast might be worth a listen. Send news tips and…...
Private Medicare plans erect barriers to rehab care in pursuit of profit, federal investigators find
2+ mon, 2+ week ago (213+ words) Ross and Herman have been investigating denials of rehabilitative care by large health insurers for three years. They previously published an investigation into insurers’ reliance on NaviHealth to scrutinize these requests, which was a finalist for a Pulitzer Prize. These…...
Medicare’s mum on GLP-1s, and Massachusetts sues United
2+ mon, 3+ week ago (246+ words) Hello, and all hail Chonkers! Get your Alice Cooper voice ready, because school’s out for summer. But HCI is open year-round, so tell me all about your summer plans and any juicy intel you have on the health care industry:…...