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ASTRO survey: Prior authorization delays care, add costs
“The many hours spent by our physician providers and the delays in commencing treatment for these cancer patients can never be recovered,” Dr....
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Medicare withdraws plans to exclude drugs from Part D protected classes
Agency officials wrote that there are “sufficient” enrollee access protections in place and declined to finalize plans to allow Part D drug plan...
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Medicaid coverage decreased in Arkansas following work requirements
WASHINGTON – Most people who lost coverage were working but unaware of or unable to meet administrative requirements...
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Senators question whether health IT regulation can keep up with innovation
“I wonder exactly whether it is conceivable for us to achieve standards that will allow systems to talk to each other from one hospital system,...
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CBO predicts more Medicare spending with drug rebate proposal
The Congressional Budget Office estimates that spending in the Medicare program would increase by $170 billion over the 2020-2029 period due to...
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Senators hear what’s wrong with APMs, MIPS
“I lost $100,000 to score that perfect [MIPS] score. So we need to modify that.”
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HHS finalizes controversial conscience regulation
“Once again, this administration shows itself to be determined to use religious liberty to harm communities it deems less worthy of equal...
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CMS pushing primary care with two new payment models
We are pretty excited about Primary Care First, for what it symbolizes.
The academy has long suggested that fee for service is not congruent...
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Medicare-for-All gets first legislative hearing
Given the challenges the bill will face getting through the House – and the likelihood that the Senate won’t touch it – some questioned why the...
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CMS pushing primary care with two new payment models
“These models are intended to allow clinicians to focus on patient care, not billing, and to do what they’ve been trained to do,” CMS chief Seema...
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CMS plan will incentivize generic drug use
New CMS regulations also address premiums under the Affordable Care Act for 2020.
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How to incorporate the gender wage gap into contract negotiations
PHILADELPHIA – Don’t view a woman asking for something as demanding or harsh when a male asking for the same exact...
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MAT access helps address opioid use disorder
PHILADELPHIA – Incarceration is an accelerant in the crisis of opioid use disorder.
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Transformational change starts within medical practices
PHILADELPHIA – Opening the door to transformational change can be as simple as opening a door.
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Negotiating an employment contract? Lawyer up
PHILADELPHIA – Preparing to enter into employment contract negotiations? Lawyer up, Michael Sinha, MD, advises.