Medicare

Expert's Insights Into Coverage Gap for Cluster Headache Oxygen Therapy

Expert's Insights Into Coverage Gap for Cluster Headache Oxygen Therapy

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A recently published article exposes a gaping hole in the access to an effective first-line therapy for a portion of patients with cluster headache in the United States.

New Part B Drug Rule May Lead to Steep Payment Reductions for Specialists

New Part B Drug Rule May Lead to Steep Payment Reductions for Specialists

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The Centers for Medicare & Medicaid Services has issued a final rule that could result in steep payment reductions for physicians of certain specialties in 2018.

CMS Launches Initiative to Analyze Impact of Provider Regulations on Patient Care

CMS Launches Initiative to Analyze Impact of Provider Regulations on Patient Care

The Centers for Medicare & Medicaid Services has launched an initiative to examine which provider regulations should be discarded or revamped amid concerns that the regulations are reducing the amount of time that physicians spend with patients.

Clinicians Have Extra Time to Read Performance Review in CMS

Clinicians Have Extra Time to Read Performance Review in CMS

Physicians have 2 extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare & Medicaid Services' Physician Compare online resource.

Are Medicare Guidelines Creating a Barrier to Top Quality Healthcare?

Are Medicare Guidelines Creating a Barrier to Top Quality Healthcare?

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A physician shares his insights on how Medicare's guidelines can potentially create a barrier when caring for patients.

Pharma Companies Overemphasizing Flaws With Medicaid's "Best-Price" Rule

Pharma Companies Overemphasizing Flaws With Medicaid's "Best-Price" Rule

Medicaid's best-price rule is not as serious a problem as drug manufacturers imply, although it may affect novel pricing arrangements.

New Tools Available to Guide Physicians Through Merit-Based Payments

New Tools Available to Guide Physicians Through Merit-Based Payments

The Centers for Medicare & Medicaid Services added new online resources to assist physicians participating in the Merit-based Incentive Payment System and to those exploring the opportunities available.

Opioid Use Patterns in Rheumatoid Arthritis

Opioid Use Patterns in Rheumatoid Arthritis

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Longitudinal opioid prescribing patterns suggest that regular use among patients with rheumatoid arthritis (RA) is slightly declining.

Changes to Government Approach to Doctor Payment Under MACRA

Changes to Government Approach to Doctor Payment Under MACRA

Implementation of the Medicare Access and CHIP Reauthorization Act has made fundamental changes to the government's approach to physician payment.

Impact of Higher Physician Spending

Impact of Higher Physician Spending

Medicare patients treated by higher-spending physicians are just as likely to be re-admitted or die within 30 days of being admitted as those treated by low-precribing physicians.

Epidural Spinal Injection Safety, Coverage Guidelines by Multisociety Partnership

Epidural Spinal Injection Safety, Coverage Guidelines by Multisociety Partnership

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Virtaj Singh, MD, highlights the successes of the Multi-society Pain Work Group (MPW), which resulted in Medicare modifying its approach to coverage.

Maximizing Revenues and Preparing for Payor Changes: Expert Q&A

Maximizing Revenues and Preparing for Payor Changes: Expert Q&A

Joining an Independent Physician Association or an Accountable Care Organization to facilitate data collection, reporting, and coordination of care.

Rates of Opioid Agonist Therapy Prescriptions for Medicare Patients Reflect Treatment Gap

Rates of Opioid Agonist Therapy Prescriptions for Medicare Patients Reflect Treatment Gap

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A small fraction of prescriptions for Medicare patients are for opioid agonist therapy, despite higher rates of abuse.

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