Medicare Advantage One leading proposal for Senate Republicans is clamping down on private Medicare Advantage insurers to make it harder to game the federal subsidy system by exaggerating the health ...

Sen. Thom Tillis (R-N.C.), a member of the Senate Finance Committee, on Thursday said GOP lawmakers are looking at changes to Medicare to root out waste, fraud and abuse. Republican senators are ...

Humana (HUM) backs reforms on extra Medicare Advantage payments from home visits and chart review. Read more here.

The Medicare Economic Security Solutions Act is poised to transform the landscape of Medicare penalties, offering relief to ...

More than 700,000 Medicare beneficiaries currently face permanent increases in their Part B premiums because of late enrollment, with average penalties reaching 30 percent.

The AMA Update covers a range of health care topics affecting the lives of physicians and patients. Learn more about the challenges physicians face and what's next for the AMA.

Congress has attempted to pass “federal PBM reform.” Members of Congress have held numerous hearings related to PBMs ...

Bob Hawke and Gough Whitlam would be 'rolling in their graves' over the way Labor is managing Medicare, a leading GP says.

Some time ago, the Congressional Budget Office investigated whether the federal government could save significant money by negotiating with drug manufacturers over the price of drugs covered by ...

On May 22, 2025, the House of Representatives cleared a major reconciliation hurdle, advancing its version of a 2025 Fiscal Year (FY2025) ...

But restructuring will not occur without payment policy reform. Four policy options are commonly cited: recalibrating FFS, instituting pay-for-performance, creating episode-based payments ...

We can move toward free market reforms in drug pricing. We must overturn the current perverse incentives that favor the ...