Latest Updates

Earlier this month, President Biden and Sen. Bernie Sanders (I-Vt.) published an oped about “the outrageous prices that the pharmaceutical industry charges the American people for prescription drugs.” It is the latest step in Sanders’s ongoing campaign about drug prices.

The Centers for Medicare & Medicaid Services (CMS) proposed a nearly 3% decrease in physician payments for 2025, drawing quick backlash from oncology organizations, who say that the fees are insufficient to keep up with inflation and higher operational costs.

The Change Healthcare cyberattack shook U.S. health care to its core for months and exposed major cyber vulnerabilities. But the likely ripple effects on individuals are only now becoming apparent.

WASHINGTON — There’s been a long lull in fighting between primary care and specialty doctors over how much they get paid by Medicare, but that truce might not last if Congress overhauls the system that determines physician payment.

The Federal Trade Commission is preparing to sue the largest three pharmacy benefit managers over their negotiations over the prices for drugs including insulin, The Wall Street Journal reported on Wednesday.

The release on July 10 of the proposed Calendar Year 2025 Medicare Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) is causing consternation among national healthcare associations, who are criticizing both the 2.93-percent decrease to physician reimbursement contained in the proposed schedule, and some elements around benchmarks in the Medicare Shared Savings Program (MSSP) that are contained in the proposed schedule.

In its Loper Bright decision last week, the Supreme Court of the United States likely opened opportunities for further legal challenges to the Health Resources and Services Administration’s (HRSA’s) interpretation and application of the 340B statute.

The Federal Trade Commission blasted intermediaries in the prescription drug supply chain, pharmacy benefit managers.

For years, the price of an operation at my hospital has been radically different depending on the floor where it’s performed. Why? One spot was designated a hospital space; the other a non-hospital space. Patients were sometimes ushered to the location that generated the biggest profit based on their insurance type.

What’s the news: Physicians are facing a 2.8% cut in pay under the proposed 2025 Medicare physician payment schedule published today. The proposal from the Centers for Medicare & Medicaid Services (CMS) reinforces the clear need for systemic changes and follows a 1.69% Medicare pay cut in 2024 and 2% drop in 2023.