Latest Headlines

Latest Headlines

Medicare Part D plans cover majority of drugs used by dual-eligible consumers

Medicare Part D covers the bulk of medications commonly used by both Medicare and Medicaid beneficiaries, according to a new report from the Office of the Inspector General (OIG).

Drug, medical device companies paid teaching hospitals, docs nearly $6.5B last year

The pharmaceutical and medical device industry contributed a shade under $6.5 billion to the nation's teaching hospitals and physicians last year, the Wall Street Journal has reported. That sum includes consulting services, research and promotional speeches about drugs. The money also included non-clinical payments, such as the value of free food provided to doctors by drug and medical device sales representatives.

Cancers, chronic conditions lack quality measures

Many chronic conditions--such as certain cancers--lack the proper representation in Medicare pay-for-quality programs. 

3 keys to sustaining Medicare for another 50 years

Medicare is celebrating its 50th anniversary this year. Although the federal health program has made strides since its inception, there are also several challenges that lie ahead, former Sen. Tom Daschle wrote in a Health Affairs blog post.

CMS pays out $1.3 billion to settle disputed RAC claims

The Centers for Medicare & Medicaid Services is proceeding with its plan to settle disputed recovery audit contractor clawbacks with hospitals, paying 1,900 inpatient facilities a total of $1.3 billion as of the start of this month, the agency announced.

10 new 'breakthrough' drugs to cost $50B for Medicare, Medicaid over next decade

Medicare and Medicaid will have to spend almost $50 billion to cover just 10 new specialty medications in the next 10 years, according to a new report from Avalere Health.

CMS unveils final financial rules for ACOs

The Centers for Medicare & Medicaid Services last week released revised rules for the formation and participation of accountable care organizations in its shared savings plans. 

Joint replacement prices, costs continue to vary widely

Billing data just released by the Medicare program has reinforced the wide disparity in what hospitals charge for their services--in this case, joint replacement surgery.

Physicians received $90 billion in 2013, CMS reveals

The Centers for Medicare & Medicaid Services paid approximately 3,900 physicians at least $1 million in 2013, according to a Bloomberg analysis of newly released data from CMS.

Unnecessary procedures drive cardiology fraud investigations

Westchester Medical Center's recent $18.8 million settlement resolving allegations of unnecessary cardiac procedures has raised patient safety concerns, along with questions about the potential for fraud and abuse among cardiology providers.