Medicare & Medicaid

Incentivizing high-quality care reduces costs while improving patient outcomes.

The evolving criteria for coverage mean physicians will need to stay informed and help patients navigate their options during Medicare Open Enrollment

The past has lots of indicators, but the candidates were mum in the summer about specific initiatives on major programs.

Expect patient care to suffer when physicians face a 2.8% decrease in reimbursement in 2025, even as regulators acknowledge practice costs are going up.

The proposed meager Medicare reimbursement increase for dialysis providers marks the fifth year in a row that the agency has failed to capture actual increases in labor and treatment costs.

In theory, patients should benefit from drug price discounts negotiated between drug companies and insurers. In reality, they don’t, and a potential solution is stalled in Congress.

Savings in the future on 10 prescription drugs for taxpayers and Medicare patients.

For some seniors living with chronic diseases, one particular reform may actually lead to higher out-of-pocket costs

Association president notes proposed cut to physician reimbursement is disappointing, but there are other items to be aware of in next year’s plan by CMS.

Higher standards for obstetrical services are also part of the CMS proposal

House subcommittee holds hearing on best ways to shift from fee-for-service for treatments, to incentivizing better health for patients.

Primary care is crucial to U.S. health care, but declining. The Commonwealth Fund offers suggestions on how to invest more in it.