Hospital Lobbying Could Sink Effort To Trim Medicare Costs

Hospitals intensely lobbying to stop a bipartisan measure that would trim their Medicare payments are emphasizing how the policy may hobble already struggling rural hospitals. Why it matters: The hospitals’ argument is apparently resonating in the Senate — raising further doubts about whether Congress can overcome pressure from a politically powerful lobby to enact modest Medicare savings. ...

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Hospital-Backed Proposal Would Make Insurers Reveal Prior Auth Denial Rates

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star ratings system that mandates health plans to report certain prior authorization denial rates. The Measures Under Consideration list gives feedback to the Centers for Medicare & ...

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No Pain, No Gain? Your Body Would Like a Word

As a sprint relay track cyclist on the U.S. Olympic Team, Joshua Hartman spends much of his training time lifting weights to build power and speed. In 2023, while trying to deadlift a load near the limit of his ability, he noticed that his form was off, and the weight wasn’t moving as quickly as ...

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The FTC Is Attacking Drugmakers’ ‘Patent Thickets’

The Federal Trade Commission has challenged the validity of over 100 drug product patents, focusing on devices used to deliver medicines, like inhalers and autoinjectors, in an effort to increase competition and potentially lower some prices.

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Anthem Blue Cross and Blue Shield in Nevada Earns NCQA Health Equity Accreditation Plus

Anthem Blue Cross and Blue Shield in Nevada (Anthem) recently earned the National Committee for Quality Assurance (NCQA) Health Equity Accreditation Plus, a recognition of Anthem’s leadership in developing solutions to enhance access to equitable, high-quality healthcare in Nevada.

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‘A Serious Erosion’ Of Affordability: Health Costs Eating A Bigger Chunk Of Household Budgets In California

Health care affordability is worsening in California, with health care costs rising significantly faster than household income, and more than half of the state’s residents saying they or a family member skipped or delayed care in the past year because of cost.

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Ouch. That ‘Free’ Annual Checkup Might Cost You. Here’s Why.

When Kristy Uddin, 49, went in for her annual mammogram last year, she assumed she would not incur a bill because the test is one of the many preventive measures guaranteed to be free to patients under the 2010 Affordable Care Act.

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Pharma Price Cut Proposals From U.S. Government Could Be Steep, Analysts Say

 Pharmaceutical companies are due to receive by Thursday the U.S. government's opening proposal for what are expected to be significant discounts on 10 of its high-cost medicines, an important step in the Medicare health program's first ever price negotiations.

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Merck, Johnson & Johnson CEOs Agree To Testify In Senate Hearing On High Drug Prices

The CEOs of Merck and Johnson & Johnson have voluntarily agreed to testify at an upcoming Senate hearing on high drug prices in the U.S., Sen. Bernie Sanders announced Friday, as lawmakers ramp up efforts to rein in health-care costs for Americans.

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As COVID Surge Wanes, California Faces Backlash Over ‘Outrageous’ New Rules

The expected winter wave of respiratory viruses in California is steadily receding, with hospital admissions for COVID-19 and influenza falling back to levels seen before Christmas, according to figures reported by the state Friday. Health facilities and the public have fared much better this winter compared with the previous three seasons of the pandemic. Yet amid ...

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