Page 130 - Medicare Program News Today

The Centers for Medicare & Medicaid Services (CMS) recently issued initial guidance on how the agency expects the Medicare Drug Price Negotiation Program (the “Negotiation Program”) to...

In what passes for neon lights in the regulatory world, CMS said Medicare Advantage (MA) plans must follow the two-midnight rule, its case-by-case exception and the inpatient-only (IPO)...

Where a plaintiff assignee has filed a complaint against defendant automobile insurers to recover a Medicare beneficiary’s medical expenses under the Medicare Secondary Payer provisions of the Medicare Act, summary judgment should be denied because genuine disputes of material fact remain as to whether the assignor did, in fact, pay any providers for treatments and

Whatever merits one may ascribe to the recently enacted Medicarelaw, it has aggravated, not controlled, rapidly rising Medicarecosts. Its major feature is a massive entitlement expansion, but italso embodies some bad health care policy: There is no need for thefederal government to displace existing drug coverage, pre-empt newprivate-sector options, or accelerate the loss of employer-baseddrug coverage.

The best Medicaid policy would mainstream as many individuals andfamilies as possible into private coverage and encourageself-direction for those the Medicaid safety net was intended. Whenconsidering changes in the Medicaid program, federal and statepolicymakers should ensure fiscal control and improve the way thatlow-income individuals and families receive care.

“Single-payer” health care is increasingly popular with some Members of Congress and the public at large.

How Congress Can Restore the Freedom of Senior Citizens to MakePrivate Agreements With Their Doctor

Health care providers looking to explore or expand their involvement in value-based care through affiliation with an accountable care organization (ACO) have a large number of options...

Through petitions, we can reach those in power and demand justice for others. They are valuable tools for making positive changes in the world.

Medicare can be fixed and it certainly will not take thousands of pages of regulations.