Health care industry
Researchers at the University of Colorado Anschutz Medical Campus have published a report analyzing the United States Inflation Reduction Act of 2022's Medicare Drug Price Negotiation Program, highlighting potential gaps in the Centers for Medicare and Medicaid Services' (CMS) approach to assessing unmet medical need (UMN). Through
Health care industry
Bluestone Accountable Care Organization (ACO) saved Medicare $33.6 million in 2024, ranking in the top five nationally for savings per beneficiary and among the top 10 ACOs in overall savings rate. The organization's compassionate, quality care for 5,772 Medicare beneficiaries residing in assisted living, memory care,
Medical centers
Chronic limb-threatening ischemia (CLTI) disproportionately affects racial minority populations, particularly Black patients, who experience higher amputation rates and reduced access to vascular care. Despite national initiatives aimed at improving early screening and diagnosis of peripheral arterial disease (PAD), it is unclear whether these efforts have improved outcomes for Black patients.
Hospitals
Tasmanians are flocking to Medicare Urgent Care Clinics in record numbers, relieving pressure on hospital emergency departments. The five clinics in Tasmania have treated over 117,000 patients since opening, primarily families with children, with the majority of visits occurring on weekends or after 5 pm. The clinics, operated by
Health care industry
The Centers for Medicare & Medicaid Services (CMS) has announced the rollout of the WISeR model, a voluntary six-year pilot program aimed at leveraging technologies like artificial intelligence (AI) to ensure timely and appropriate Medicare payments for select items and services. This model, set to run from January 1, 2026
Health care industry
The nation is on the brink of losing the only federal agency dedicated to studying how health care is delivered, as the Agency for Healthcare Research and Quality (AHRQ) faces a near-total workforce reduction, and the Department of Veterans Affairs (VA) grapples with severe staffing shortages. These crises are compromising
Health care industry
The nephrology industry is undergoing significant changes, driven by federal policy, private equity investment, and research advancements. In the recent Benesch keynote address, experts discussed the impact of legislative gridlock, Medicare payment cuts, and model rollbacks on kidney care. Meanwhile, private equity firms are investing heavily in data analytics and
Health care industry
The Michigan Health Market Review 2024 report analyzes the health care payer and provider markets in the state. The report provides a comprehensive and objective analysis of strategies and key trends for the health insurers and provider systems in Michigan. With the "Great Unwinding" of Medicaid recipients beginning
Health care industry
In a bid to protect the Medicare and Medicaid programs, which have been under attack by Republicans in Congress and the Trump Administration, Congressman Chris Pappas (NH-01) has hosted a listening session at Dartmouth Hitchcock Medical Center in Manchester, New Hampshire. The event aimed to raise awareness about the importance
Physicians
A Baltimore federal jury had sufficient evidence to convict Dr. Ron Elfenbein, owner of Drs ERgent Care clinic in Gambrills, of alleged Medicare billing fraud related to inflated COVID-19 testing claims. The U.S. Court of Appeals for the 4th Circuit reversed the District Court for Maryland's acquittal
Physicians
The proposed rule by the Centers for Medicare & Medicaid Services (CMS) marks a significant step towards broader access to innovative imaging tools that help identify high-risk cardiovascular patients earlier and more accurately. The proposed rule includes a Category I CPT code for coronary plaque analysis and a national Medicare
Physicians
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule to increase quality care for Medicare recipients while significantly reducing unnecessary spending. The calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) proposed rule advances primary care management through new quality measures, reduces waste and unnecessary use
