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Medicare & Medicaid

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Will the Medicare Donut Hole Continue to Shrink?

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.
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How Reliable are Drug Expiration Dates?

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%?

The Failure of Healthcare Public Policy in the U.S.

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.

5 Ways the GOP Health Bill Would Reverse Course From the...

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...
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Why We Must Protect Medicaid from Block Grants

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.

7 Facts to Know about MACRA

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.

Uninsured Ex-Inmates Fall Prey to Mental Illness After Prison

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.

When it Comes to Telemedicine, Who is Paying for What?

Telemedicine reimbursement policies vary by payer. Leanza Tupfer reviews what is covered based on type of payer (Medicare, Medicaid, Private Plans).

A Journey from Volume to Value-based Care

If you are thinking about applying for a value-based incentive program, you will want to ask yourself some key questions first.

Joint Replacement Bundled Payments May Be Risky for Patients

CMS bundled payments for joint replacements are designed to reign in costs, but what's not in the bundle could pose patient safety risks.

Do You Trust Medicare with Your Health? Read and Decide

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.

Why California’s Proposition 61 is So Important

One result of recent drug price increases is that policymakers are pushing for caps on drug pricing. One example is California's Proposition 61, called the Drug Price Standards Initiative.