Medicare caps seniors drug expenses: What you need to know
Medicare recipients who take expensive prescriptions will get a break this year with a $2,000 cap on drug costs.
UnitedHealth’s secret to billions in extra medicare funds: How doctors inflate sickness scores, reveals report
UnitedHealth Group, a major player in the US healthcare industry, has come under scrutiny for its practices surrounding ...
Center on Budget and Policy Priorities8h
Medicaid Per Capita Cap Would Harm Millions of People by Forcing Deep Cuts and Shifting Costs to States
Recent proposals from Republican congressional leaders and a conservative think tank would impose a per capita cap on federal ...
Unhappy with your Medicare Advantage? You have one more chance to change your mind.
Jae Oh, author of "Maximize Your Medicare," echoed this advice: "If you plan to leave Medicare Advantage and return to original Medicare, securing acceptance for a Medigap plan should be your first ...
Health insurers limit coverage of prosthetic limbs, questioning their medical necessity
When Michael Adams was researching health insurance options in 2023, he had one very specific requirement: coverage for ...
Tahlequah Daily Press3h
KAISER HEALTH CARE: Health insurers limit coverage of prosthetic limbs, questioning their medical necessity
When Michael Adams was researching health insurance options in 2023, he had one very specific requirement: coverage for ...
The American Journal of Managed Care6h
Decisions and Precision in Value-Based Cancer Care
An Institute for Value-Based Medicine regional event in Houston, Texas, covered inconsistencies with the integration of precision medicine in oncology practices, the evolution of treatment for ...
Benefits Pro7h
Advanced primary care and alternative health plans: New solutions for employers and employees
Conversation around the idea of alternative health plans is beginning to grow. This model allows employees to augment ...
Bipartisan Senate report slams private equity's "detrimental effects" on hospitals
Two private equity firms' efforts to wring profits out of hospitals in underserved communities put patients in danger, ...
The American Journal of Managed Care8h
Managed Care Reflections: A Q&A With Jan E. Berger, MD, MJ
To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over ...
Daily Courier5hOpinion
Private Equity Is Helping Independent Healthcare Practices Lower Costs
For too long, some policymakers have cast all private equity involvement in health care in a negative light. However, ...