Medicare Program Integrity and Efforts to Root Out Improper Payments, Fraud, Waste and Abuse
This brief explains fraud, waste, abuse, and improper payments in Medicare and describes actions to ensure Medicare program integrity.
2025
Read More
How Real-World Data Can Support Label Extension And Safer Use Of Novel Therapies
Engaging in data sharing, observational cohort research, and deeper analysis of available data to yield further insights can drive improved results for patients, making label and cohort extension faster and more robust. The post How Real-World Data Can Support Label Extension And Safer Use Of Novel Therapies appeared first on MedCity News.
‘They Won’t Help Me’: Sickest Patients Face Insurance Denials Despite Policy Fixes
HENRICO, Va. — Sheldon Ekirch spends a lot of time on hold with her health insurance company. Sometimes, as the minutes tick by and her frustration mounts, Ekirch, 30, opens a meditation app on her phone. It was recommended by her psychologist to help with the depression associated with a stressful and painful medical disorder….
Readers Shop for Nutritional Information and Weigh Radiation and Cancer Risks
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. What’s Up With Our Wheat? Great article (“How the FDA Opens the Door to Risky Chemicals in America’s Food Supply,” March 10). Another topic that needs more research is the fact…
Montana’s Small Pharmacies Behind Bill To Corral Pharmacy Benefit Managers
HELENA, Mont. — Montana’s small, independent pharmacies say they’re getting increasingly squeezed on reimbursements by pharmacy benefit managers — and are pushing an ambitious bill to rein in what they say are unfair practices by the powerful industry negotiators known as PBMs. “Who in their right mind would subject themselves to this sort of treatment…
Platform Shift: From EHRs to UDHPs (Unified Digital Health Platforms)- Section 1
By VINCE KURAITIS, GIRISH MURALIDHARAN & JODY RANCK This entry is part 3 of 3 in the series Platforming Healthcare — The Long View. This essay is the next in the series entitled “Platforming Healthcare — the Long View”. The series presents a 30-Year Framework for Platforming Healthcare. An updated v2.0 of a graphic depicting…
Two Chairs Expands Mental Health Services to 19 More States
Two Chairs, which offers hybrid behavioral health care, expanded its presence from three states to 22 states. This expansion gives millions of people access to therapy services, as Two Chairs’ services are now available to 75% of the U.S. population. The post Two Chairs Expands Mental Health Services to 19 More States appeared first on…
What’s Private Equity’s Impact on Intellectual and Developmental Disability Services?
A new report from the Private Equity Stakeholder Project reveals that private equity firms have been increasingly acquiring intellectual and developmental disability providers and implementing cost-cutting strategies that reduce care quality. The post What’s Private Equity’s Impact on Intellectual and Developmental Disability Services? appeared first on MedCity News.
PCR Comes to the Home With FDA Authorization of Visby’s OTC Sexual Health Test
The FDA granted marketing authorization to a Visby Medical at-home PCR test for three common sexually transmitted infections. The Visby test yields results in about 30 minutes. The post PCR Comes to the Home With FDA Authorization of Visby’s OTC Sexual Health Test appeared first on MedCity News.
The Case for 340B Done Right
It’s critical that healthcare organizations delivering on the program’s promise not be torpedoed by the “bad actors” The post The Case for 340B Done Right appeared first on MedCity News.