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Medicare

Latest Headlines

Latest Headlines

The practical challenges of Medicare negotiating drug prices

​Despite presidential candidates promising to reduce the out-of-pocket costs of prescription drugs, a new article from  STAT  makes the case that the amount of power the government actually has to drive down drug prices on a large scale may not be significant.  

Advocacy groups unveil their wish lists for 2016

With a small window of time before the U.S. Presidential elections take all the legislative air out of the room, medical advocacy groups are focused on advancing their top priorities. The majority of this year's goals lie in the regulatory arena, according to a story in  MedPage Today.

Medicare patients pay far more for outpatient care at critical access hospitals

Medicare enrollees at critical access hospitals often pay far more out of pocket than patients obtaining the same care at larger institutions, according to an analysis by  The   Wall Street Journal.

Annual colonoscopy rates increase among men when out-of-pocket costs decrease

New research indicates that cost may be an important barrier to colorectal cancer screenings, at least among men, and that changing policies to close the remaining loopholes that would reduce the expected out-of-pocket expenses for all Medicare beneficiaries may improve screening rates. 

Pay cuts, CMS promises led practice stories of 2015

It's a headline some worried would never appear, but repeal of Medicare's sustainable growth rate formula finally became reality in 2015. Of course, as we bid adieu to the SGR, a new dilemma took its place, making our story comparing the upcoming merit-based incentive payment system and alternative payment model among our most popular stories this year.

Medicare grants for-profit company full access to claims database

Medicare will provide complete data at the national level to a San Francisco-based for-profit start-up company with the goal of providing the most accurate physician information to patients so they can make the best decisions for their healthcare needs, according to an article from  U.S. News & World Report.  

Americans will live longer with more chronic illnesses

Americans should expect to have longer lifespans, but those lives will be accompanied by an increase in conditions such as diabetes, hypertension and other ailments that are expected to drive up the cost of their care, according to a study by researchers at the University of Southern California.

Low Medicare spending does not necessarily correlate to overall lower spending

Regions of the country that spend less through the Medicare program do not necessarily have lower healthcare costs as a whole, upending conventional wisdom about healthcare spending patterns.

Why Medicare could eventually become the basis for our single-payer healthcare system

Whatever its flaws, Medicare is one of the few voices of rationality in healthcare finance. Due to the system's huge amount of leverage--it covers about 55 million Americans--it is able to...

Employer health plans spend almost twice as much on drugs than national spending

While spending on prescription drugs accounts for only 10 percent of national spending on health, it makes up almost 19 percent of spending for employer health plans, writes Kaiser Family Foundation President and CEO Drew Altman writes in a blog post for the  Washington Post.