health care costs

Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.

The government has proposed that Medicare fully cover PrEP, a change that could help America catch up with nations in Europe and Africa that are on track to end new infections decades before the U.S.

In the wake of an investigation by KFF Health News and Cox Media Group, the SSA acting commissioner said a special team will review “overpayment policies and procedures” and report directly back to her.

Two dozen states, from Florida to Washington, have passed laws that allow hospital systems to merge into monopolies, disregarding FTC warnings that such mergers can become difficult to control and may decrease quality of care.

Lawmakers are faulting the SAA for issuing billions in payments that beneficiaries weren’t entitled to receive — and then demanding the money back — as reported by KFF Health News and Cox Media Group.

The Biden administration unveiled regulations that potentially would help tens of millions of people who have medical debt on their credit reports.

Thousands of patients with autoimmune diseases who rely on Humira, with a list price of $6,600 a month, could get financial relief from new low-cost rivals. So far, the pharmacy benefit managers that control drug prices have not delivered on those savings.

Beneficiaries in five states described what happened when they received demands to return overpayments that reached up to tens of thousands of dollars or more.

The committee, which will be chaired by Rep. Kaylee Tuck, R-Lake Placid, will “review issues relating to access and affordability in health care.”

The shift to electronic medical payments gave rise to a new kind of health care middlemen, who now charge 1-5% every time insurers pay doctors. Here's how lobbyists convinced regulators this was OK.