Practice Management
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Docs push back on step therapy in Medicare Advantage
The action is part of the broader Trump administration initiative to lower the prices and out-of-pocket costs of prescription drugs.
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CMS pushes ACOs to take on more risk
ACOs that only take on upside risk generally are spending more money and not generating savings, according to CMS Adminstrator Seema Verma.
From the Journals
Broad genomic testing of NSCLC in community oncology disappoints
Among patients with advanced NSCLC treated in community oncology practices, broad-based genomic sequencing seldom exclusively informed the...
News
Doctors decry inaction on physician-focused APMs
So far, PTAC has sent at least 10 APMs to the CMS. To date, not a single one has been approved or even tested on a limited scale.
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Ranked: State of the states’ health care
Vermont’s good outcomes and low costs have the rest of the country green with envy.
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Some doctors are warming to single-payer medicine
A “youth uprising” in support of a single-payer health care system at this year’s AMA House of Delegates meeting speaks to a cultural shift in the...
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CMS proposal to level E/M payments raises concerns
Dermatologists and oncologists lose under the proposal, while ob.gyns. could see their payments increased.
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PhRMA spending leads health-sector lobbying efforts
Three other health entities made the lobbying Top 10 for the first half of 2018.
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To tame prescription prices, HHS dips a toe into drug importation stream
Drug prices in the United States have continued to rise and more than 80% of Americans say the government should take action.
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CMS to resume risk adjustment payments for 2017
The program uses statewide average premiums to draw money from health insurance plans with few high-need patients and funnels it to those with...