Keyword: Brookings Institution

Medicare Part D was launched before the rapid rise of pricey specialty drugs, so MedPAC is weighing a significant overhaul of the program.

MedPAC commissioners weighed what a Medicare without fee-for-service might look like at a meeting Thursday. 

Calling surprise billing a clear example of a "market failure," a collection of experts testifying on Capitol Hill on Tuesday told lawmakers to focus on solutions that would address the role of health providers and insurers—not further burden patients.

Regulators warn that suggestions to address surprise bills, such as rate setting and payment caps, come with significant downsides for states.

States looking to experiment with health coverage can apply for ACA waivers—but many are looking beyond such waivers to boost the exchanges.

The Medicare Payment Advisory Commission is weighing reference pricing and binding arbitration as possible solutions for rising drug prices in Part B.

New state policies could help mitigate the costs of surprise out-of-network billing, according to the Brookings Institution.

If states set up their own individual mandates, the laws could bring in a combined potential revenue of over $5.6 billion.

The unusual fine highlights the need for a layered approach to surprise billing enforcement, one expert says.

States working to stabilize their individual exchanges still face challenges with urban versus rural members and unsubsidized membership.