In April, CMS finalized its Contract Year (CY) 2026 Medicare Advantage and Part D Final Rule (Final Rule). With CMS releasing the 2026 Medicare Advantage and Part D Proposed Rule in December under the Biden Administration, the Final Rule provides our first …
Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also the author of the Health Care Inc. newsletter. You can …
Medicare drug plans significantly boosted coverage of biosimilar versions of the Humira rheumatoid arthritis medicine this year, but nearly all of them failed to take steps that would encourage greater use of these alternative treatments, a new government …
The National Institutes of Health will use information from federal health insurance programs Medicare and Medicaid to create a "real-world data platform" to determine the cause of autism, the agency announced this week. The Department of Health …
A Pelham Manor executive has been sentenced to prison for 14 months for leading a health care scam that cost Medicare $48 million. U.S. District Judge Lorna G. Schofield also ordered Manishkumar Patel, 45, to pay back Medicare and to forfeit $6.8 million …
NEW YORK—Manishkumar Patel, 44, of Pelham Manor New York, was sentenced to 14 months in prison for defrauding Medicare of close to $50 million. Patel previously pled guilty to conspiring to commit health care fraud, wire fraud and violating the Anti- …
During his first term, attempts by President Donald Trump to slash drug prices and reduce Medicare spending through a most favored nation (MFN) clause crumpled under pressure from the biopharma industry and House Republicans, with his last gasp effort …
Registered voters in Tennessee, which backed President Donald Trump by nearly 30 points in the 2024 election, are deeply opposed to cuts to Social Security and Medicare, according to a new poll from Vanderbilt University. The level of agreement against the …
&
