Insurance

Ahead of the president’s final State of the Union address, Democrats announced new plans to investigate drug prices in 2016.

Medicare's accountable care organization (ACO) initiatives now include a total of 477 participants across 4 different model types, including the 21 just announced as part of the new Next Generation ACO Model.

A new study finds that projected and planned-for modifications to Medicare Advantage by CMS could lead to major changes in payments based on geographic locations.

A new 5-year program has been created to focus on the health-related social needs of Medicare and Medicaid beneficiaries.

In their Viewpoint in JAMA Oncology, Sanket S. Dhruva, MD, and Vinay Prasad, MD, MPH, have raised objections to CMS’ turnaround on coverage decision for the antibody blinatumomab.

Puerto Rico’s community health centers face grave challenges because of a lack of funding.

What we're reading, December 24, 2015: more than half of Affordable Care Act co-ops will be closed by the end of 2015, but this could have been avoided; 5 senators are pressing CMS for information on containing drug costs; and a task force does not recommend screening all teens and children for high cholesterol.

A new study finds that Medicare recipients can prevent hospital admissions if they seek medical assessment from clinical home visits, which increase the number of visits to the doctors while reducing the costs of healthcare because of treatment in less-costly sites.