Medicare / Medicaid

Increase $$ for Physicians, Institute Site-Neutral Payment, MedPAC Report Suggests

Boosting physician fee-for-service (FFS) payment rates and implementing site-neutral payment are among the ideas discussed in the Medicare Payment Assessment Commission’s (MedPAC) June report to Congressopens in a new tab or window, which was released Thursday. Although Medicare beneficiaries’ access to physicians appears adequate for now, “the commission is concerned about whether payments will remain […]

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The Medicare Bubble Has Burst

For years, the privately run Medicare Advantage business generated outsize profit growth for health-insurance giants. With hundreds of billions of taxpayer dollars flowing to insurers in a fast-growing market buoyed by aging baby boomers, there was little not to like as far as Wall Street was concerned. Companies like UnitedHealth Group and Humana bet big

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Hospital Prices Paid by Private Insurers Vary Widely, Report Finds

Private health insurance on average pays hospitals 2.5 times what Medicare does for the same services, with some states seeing relative prices of more than 3 times greater, according to a new RAND report. The wide range of prices can’t be explained by differences in quality, report authors said. While it’s well established that private

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