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About 9,330 results

US Supreme Court Rebuffs UnitedHealth Group Challenge on Medicare Overpayments
https://www.medscape.com/viewarticle/975955

Jun 22nd, 2022 - (Reuters) - The U.S. Supreme Court on Tuesday declined to hear UnitedHealth Group Inc's challenge to a government rule requiring private insurers that administer federally funded Medicare plans to return potentially billions of dollars in overpayments they receive based on incorrect diagnoses. Turning away the Minnetonka, Minnesota-based insurer's appeal, the justices left in place a lower cour...

'Striking' Jump in Cost of Brand-Name Epilepsy Meds
https://www.medscape.com/viewarticle/976005

Jun 22nd, 2022 - In the United States, the cost of brand-name medications for treating epilepsy soared during the period 2010–2018, while the cost of generic antiseizure medications (ASMs) decreased, a new analysis shows. After adjusting for inflation, the cost of a 1-year supply of brand-name ASMs grew 277%, while generics became 42% less expensive. "Our study makes transparent striking trends in brand name pr...

$3 Billion in Cancer Drug Waste: Can It Be Salvaged?
https://www.medscape.com/viewarticle/975964

Jun 21st, 2022 - Three billion dollars: It's enough to finance the annual out-of-pocket costs for 1 in 7 patients with cancer. It would cover almost half of the National Cancer Institute's annual budget. And it could fund President Biden's entire Cancer Moonshot program, with more than a billion to spare. It's also how much the United States spends on unused cancer drugs each year, some experts estimate. Every ...

Heart Failure: Medicare Cost Sharing May Put Quadruple Therapy Out of Reach
https://www.medscape.com/viewarticle/975920

Jun 20th, 2022 - Out-of-pocket (OOP) costs for Medicare enrollees receiving quadruple drug therapy for heart failure with reduced ejection fraction were "substantially higher than regimens limited to generically available medications," according to a new analysis of prescription drug plans. "Despite the clinical benefit of quadruple therapy" consisting of beta-blockers, angiotensin receptor-neprilysin inhibitor...

Supreme Court Rules Against Medicare Pay Cut on Discounted Drugs
https://www.medscape.com/viewarticle/975759

Jun 16th, 2022 - Medicare erred in creating a policy to pay hospitals less money for drugs they acquired at sharply reduced costs through a federal 340B discount program, according to a ruling from the US Supreme Court. The Supreme Court on Wednesday released an opinion in a case known as American Hospital Association (AHA) v. Health and Human Services Secretary Xavier Becerra. The case centered around a policy...

Buy and Bust: When Private Equity Comes for Rural Hospitals
https://www.medscape.com/viewarticle/975678

Jun 15th, 2022 - MEXICO, Mo. — When the new corporate owners of two rural hospitals suddenly announced they would stop admitting patients one Friday in March, Kayla Schudel, a nurse, stood resolute in the nearly empty lobby of Audrain Community Hospital: "You'll be seen; the ER is open." The hospital — with 40 beds and five clinics — typically saw 24 to 50 emergency room cases a day, treating patients from the ...

California Internist to Pay $9.5 Million in Medicare, Medi-Cal Fraud Scheme
https://www.medscape.com/viewarticle/975447

Jun 13th, 2022 - A Los Angeles County internist will pay nearly $9.5 million to resolve accusations that he submitted false claims to Medicare and California's Medicaid program. Part of the payment was a settlement in a civil case in which Minas Kochumian, MD, an internist who ran a solo practice in Northridge, California, was accused of submitting claims to Medicare and Medi-Cal for procedures, services, and t...

Adherence to Asthma Biologics Depends on Site of Treatment
https://www.medscape.com/viewarticle/975305

Jun 9th, 2022 - Adherence to biologic agents for the treatment of moderate to severe asthma varies according to where patients have their shots administered. Adherence rates are lower among those who are always treated in a clinic than it is among those who self-inject at home, a retrospective study suggests. "I think there are a couple of explanations for this, the first assumption [being] that for patients w...

AAN Urges Legislators to Tackle US Neurologist Shortage, Extend Telehealth Services
https://www.medscape.com/viewarticle/975132

Jun 6th, 2022 - Neurologists from around the country recently converged on Capitol Hill to urge legislators to support bills that would extend telehealth services, increase the neurology workforce in the United States, and remove barriers to timely patient care. The 2-day visit was part of the 20th annual Neurology on the Hill (NOH), a program organized by the American Academy of Neurology (AAN). Although abou...

Disparities Exist in Diabetes-Related ED Visits
https://www.medscape.com/viewarticle/974720

May 27th, 2022 - Wide disparities exist in diabetes-related emergency department (ED) use between racial and ethnic groups, rural and urban patients, and Medicare and Medicaid-insured adults versus those who were privately insured between 2008 and 2017, a serial cross-sectional study indicates. All-cause ED visits increased by over 50% during the same period even though substantial health reforms were made duri...

Frustrated With Delays, Doctors Take Aim at Prior Authorization
https://www.medscape.com/viewarticle/974660

May 26th, 2022 - Last December, a young patient was admitted to Nationwide Children's Hospital in Columbus, Ohio, after several medications had failed to quell the child's relentless seizures. A hospital pediatrician, Vignesh Doraiswamy, consulted with neurologists and then tried a different drug. The child had fewer seizures, became more interactive, and was ready to go back home, says Doraiswamy. But there wa...

Legislative Efforts Continue to Revamp Laws Governing PAs
https://www.medscape.com/viewarticle/974621

May 25th, 2022 - INDIANAPOLIS ― Recent legislative sessions in state legislative houses across the country have yielded progress toward codifying optimal team practice (OTP) into state law. That's according to Phil Bongiorno, BA, senior vice president of advocacy and government relations at the American Academy of Physician Associates (AAPA), who spoke at the group's annual meeting this week. Phil Bongiorno OTP...

Fidaxomicin Favored Over Vancomycin in Real-World C diff Study
https://www.medscape.com/viewarticle/974506

May 24th, 2022 - UPDATED May 26, 2022 // Editor's note: This article has been updated with additional comments. Fidaxomicin (Fificid) emerged favorable to vancomycin for the treatment of both initial and recurrent Clostridioides difficile infections in a Medicare population, according to a new retrospective study. Although fidaxomicin was about 14% more effective than vancomycin in treating the initial infectio...

How Can the US Improve Access to Eyeglasses?
https://www.medscape.com/viewarticle/974468

May 23rd, 2022 - Many Americans do not have access to a simple but life-changing device: eyeglasses. In a 2017 survey, nearly 1 in 10 Americans who reported needing glasses said they could not afford them. More than 2 million children in the United States also do not have the glasses they need, according to an estimate from the nonprofit Vision To Learn. Expanding eye care coverage for adults and vision assessm...

Improved Cancer Survival in States with ACA Medicaid Expansion
https://www.medscape.com/viewarticle/974180

May 18th, 2022 - In states that adopted Medicaid expansion following the implementation of the Affordable Care Act (ACA), patients with cancer have improved 2-year overall survival rates when compared with patients in states that did not adopt the expansion. The finding comes from an American Cancer Society study, published online today in the Journal of the National Cancer Institute, of more than 2 million pat...

Gastroenterologists' Income Up 12%, Most Happy With Career Pick
https://www.medscape.com/viewarticle/974169

May 17th, 2022 - Gastroenterologists, like many other physicians, fared better financially in 2021 than during the height of the pandemic in 2020, according to the 2022 Medscape Gastroenterology Compensation Report. Gastroenterologists' average annual income rose from $406,000 in 2020 to $453,000 in 2021 — an increase of 12% over the prior year, second only to otolaryngologists (+13%). "Compensation for most ph...

New US Hospitals Face Fiscal Crisis Over COVID Relief Money
https://www.medscape.com/viewarticle/974126

May 17th, 2022 - THOMASVILLE, Ala. (AP) — A whole town celebrated in 2020 when, early in the coronavirus pandemic, Thomasville Regional Medical Center opened, offering state-of-the-art medicine that was previously unavailable in a poor, isolated part of Alabama. The timing for the ribbon-cutting seemed perfect: New treatment options would be available in an underserved area just as a global health crisis was un...

Oklahoma Heart Hospital Pays $1.1 Million in False Claims Settlement
https://www.medscape.com/viewarticle/974137

May 17th, 2022 - Oklahoma Heart Hospital South, LLC (OHHS) has paid roughly $1.1 million to settle claims that it submitted false claims to Medicare, the US Department of Justice (DOJ) has announced. OHHS owns and operates the Oklahoma Heart Hospital South, an acute care hospital located in Oklahoma City. After an internal review and audit, OHHS discovered irregularities related to its billing of certain servic...

Disadvantaged Medicare Patients Benefited Most From COVID Telehealth Waiver
https://www.medscape.com/viewarticle/973935

May 16th, 2022 - NEW YORK (Reuters Health) - Expanding Medicare coverage of telemedicine during the COVID pandemic led to an increase in utilization, particularly among people living in the most disadvantaged neighborhoods, a new analysis shows. Federal law has historically restricted Medicare reimbursement for telehealth to designated rural areas and certain medical facilities. But when COVID hit, the Centers ...

Red Flag Raised for Post-Op Muscle Relaxants in Older Adults
https://www.medscape.com/viewarticle/973895

May 12th, 2022 - Dr Tasce Bongiovanni As doctors shift to non-opioid pain relievers in response to the opioid epidemic, the results of a small but illuminating study raise concerns that one type of opioid alternative — muscle relaxants — may pose serious risks to some older adults. Roughly one in eight (13%) of 1718 geriatric patients who received muscle relaxants to ease pain after surgery filled prescriptions...