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What's The Price? Simple Question, Complicated Answer In Medicare
I wrote to Medicare a while back, asking for a price. I know nothing is simple in the world of health care costs, but I just needed one number, a number Medicare uses all the time, I supposed, to calculate payments to doctors and hospitals.
Here’s what I wanted to know: How much does Medicare pay a particular hospital in Boston for a colonoscopy? (It was for a story I wrote about searching for the best colonoscopy.) The first emailed response I got, at a time when the system is supposed to be working toward more price transparency, was barely in English.
Read the full story: http://bit.ly/lzzeJp
Source: Kaiser Health News
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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