Impact of Proposed Medicaid and Medicare Cuts on Massachusetts Care Providers
U.S. Rep. Richard Neal discusses the potential impact of federal budget cuts to Medicaid and Medicare on Massachusetts long-term care providers and residents.
Medicare Drug Coverage and Costs for Jardiance in Heart Failure and Diabetes Care
Explore how Medicare Part D and C plans cover Jardiance for heart failure and type 2 diabetes, including costs, formularies, and pricing reforms under the Inflation Reduction Act.
Medicare Drug Cost Sharing Shifts Drive Higher Patient Expenses
Medicare beneficiaries face higher costs as Part D plans shift from fixed co-pays to coinsurance for expensive Tier 3 drugs, raising out-of-pocket expenses significantly.
Caremark Faces Whistleblower Lawsuit Over Medicare Part D Overbilling Claims
Caremark is accused of overbilling Medicare Part D by $240-$330 million in a whistleblower lawsuit, raising significant regulatory and compliance concerns for PBMs.
Medicare Genetic Testing Fraud Case Settled for $6M Over False Claims
Genexe and Immerge settle $6M case resolving false Medicare claims for unnecessary genetic tests involving kickbacks. Settlement addresses healthcare fraud and whistleblower suits under the False Claims Act.
Medicare Advantage Under Scrutiny in Efforts to Reduce Federal Healthcare Waste
Medicare Advantage faces scrutiny amid efforts to reduce waste in federal healthcare spending, highlighting challenges in cost efficiency and regulatory oversight.
Steady Decline in U.S. Cancer Death Rates Amid Pandemic and Regulatory Updates
U.S. cancer death rates declined steadily from 2001 to 2022, including during the pandemic, driven by advances in detection and treatment. Regulatory fraud enforcement and new FDA approvals impact healthcare and insurance sectors.
Proposed Medicare and Medicaid Cuts Threaten Northern California Rural Healthcare
Federal budget proposals to cut Medicare and Medicaid funding risk destabilizing rural healthcare systems in Northern California, impacting access and economic stability.
Center for Medicare & Medicaid Innovation Under Scrutiny for Costly Inefficiencies
Analysis of the Center for Medicare & Medicaid Innovation's costly projects and their impact on Medicare and Medicaid financial efficiency.
Medicare Pay Cuts Threaten Primary Care Access Amid Doctor Shortages
Medicare's ongoing pay cuts strain primary care physicians, intensifying doctor shortages and risking access to care for the growing senior population. Increased audits and complex billing compound challenges, pushing some doctors out of Medicare.