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Warren unveils $100B plan to fight the US opioid epidemic

May 10, 2019

Sen. Elizabeth Warren (D-Mass.) this week unveiled a $100 billion proposal to combat the U.S. opioid epidemic that would emphasize employment and evidenced-based treatment for those struggling with substance use disorders, as well as provider training on treatment methods.

Is the federal government overpaying MA plans? Yes, a new study suggests.

May 8, 2019

CMS could be overpaying Medicare Advantage (MA) plans by billions of dollars because of how it calculates MA payment rates, according to Kaiser Family Foundation analysis released Tuesday.

Will eliminating Rx rebates lower costs? Probably not, CBO says.

May 6, 2019

The United States' total prescription drug costs are not expected to decrease if CMS finalizes a rule designed to prohibit drugmakers from paying rebates to pharmacy benefit managers, according to a Congressional Budget Office report released Thursday.

What's behind 'the epidemic of overtreatment'? Blame medical training.

May 3, 2019

Overtreatment is a pervasive problem in U.S. medicine, and some research suggests that the practice roots itself in doctors' habits early in their medical careers, according to Mara Gordon, a family physician.

The risks (and opportunities) of a single-payer health system, according to CBO

May 2, 2019

Transitioning the United States to a single-payer, government-run health care system would be "complicated, challenging, and potentially disruptive," but could lead to universal coverage and a more efficient health system, according to a Congressional Budget Office report released Wednesday.

This 9-year-old was bitten by a snake. Her bill came to $142,938—for one day of care.

May 2, 2019

After a snake bit Oakley Yoder, now age 10, on a summer camp hike last summer, the girl's family was billed $142,938 for roughly a day's worth of medical care, which highlights how quickly medical bills can spiral into the six-figures.

Inside the first congressional hearing on 'Medicare for All' in 10 years

May 1, 2019

During a House Committee on Rules hearing Tuesday, health care experts shared how they would approach implementing so-called "Medicare-for-All" proposals and discussed the potential costs of moving the United States to a single-payer, government-run health system.

What the US can (and can't) learn from Singapore’s celebrated health system

April 30, 2019

Singapore's health care system is considered "an example of excellence," according to Aaron Carroll, a professor of pediatrics at Indiana University School of Medicine, but a recent visit revealed why U.S. residents might not be able to use the health system as "a possible model for" its own innovation.

How much do US residents spend on health care? See the answer, charted.

April 29, 2019

Health care costs account for a larger share of low-income U.S. residents' paychecks, though high-income residents spend more dollars overall, according to data from the Bureau of Labor Statistics.

The 3 models CMS wants states to use to improve care, lower costs for dually eligible beneficiaries

April 29, 2019

CMS Administrator Seema Verma last week invited states to participate in demonstration models designed to integrate care for beneficiaries who are dually eligible for Medicare and Medicaid.

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