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Tag: Medicare & Medicaid
Adding step-therapy to Medicare Advantage Part B drugs can delay access to effective medications putting patients at risk. 3 easy tweaks can mitigate the risk.
The Medicare Donut Hole coverage gap is present in most Medicare plans but it has been getting smaller in recent years. Here's what to expect in 2019.
The process of setting drug expiration dates takes into account not just biochemistry, but also profits. How much could be saved by extending the dates just 10%?
Nearly 40% of the more than 43 million Americans who live below the poverty line avoid going to the doctor because of the cost of medical treatment. We must do better than this.
By Julie Rovner After literally years of promises, House Republicans finally have a bill they say will "repeal and replace" the Affordable Care Act. Some conservative...
AARP opposes Medicaid block grants and per capita caps because we are concerned that such proposals will endanger the health, safety, and care of millions of individuals who depend on the essential services provided through Medicaid.
MACRA has been finalized and will affect all providers that care for at least 100 Medicare patients or bill more than $30,000 a year. Here are 7 facts to know about MACRA.
After getting out of prison, many inmates fail to be signed up for health insurance and are unable to get the medications they need. The result is often a return of symptoms and a trip back to jail.
Telemedicine reimbursement policies vary by payer. Leanza Tupfer reviews what is covered based on type of payer (Medicare, Medicaid, Private Plans).
If you are thinking about applying for a value-based incentive program, you will want to ask yourself some key questions first.
CMS bundled payments for joint replacements are designed to reign in costs, but what's not in the bundle could pose patient safety risks.
Diane Evans fact-checks Medicare's claims about its newly announced physician-reimbursement plan (MACRA) that will affect the healthcare coverage of more than 55 million Americans.