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Medicare

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In California, fines up to $125,000 per preventable mistake have not made a significant dent in the number of medical errors. Despite recent gains, the number is still higher than when the state’s program began nine years ago.

Picture of Kellie  Schmitt

Leading health policy experts zeroed in on problems with the “pay for performance” health care model in our webinar this week. Here's why they say the program needs to "hit the refresh button," and how reporters can cover it.

Picture of Trudy  Lieberman

Medicare wants to lower payments to doctors who prescribe more expensive drugs and give higher reimbursements to those who use more affordable ones. But the industry pushback has been fierce.

Picture of Swati Kapoor

“House calls go back to the origins of medicine, but in many ways I think this is the next generation,” Dr. Patrick Conway, CMS' chief medical officer, recently said. The practice is making a bit of a comeback among high-need patients.

Picture of Trudy  Lieberman

If the government changes the rules of the game to satisfy sellers of Medicare Advantage plans that count on high star ratings for bonus payments, then what good are the ratings? The ratings are "a farce," one critic says.

Picture of Kellie  Schmitt

By aggressively documenting a patient’s conditions, insurers can inflate the amount of money they get from Medicare Advantage patients. Here's what reporters should understand about the hidden practice of "upcoding."

Picture of Michael  Hochman

This month, early results from one of the key efforts to transform primary care were published, and the results were underwhelming. But here's what we can learn from the initiative.

Picture of Michael  Hochman

Do patient satisfaction scores encourage doctors to deliver better care — or do they lure them into gaming the system? A recent study looked at the link between patient experiences and health care outcomes.

Picture of William Heisel

Headed to Cleveland this week for AHCJ's 2016 conference? Contributing editor William Heisel highlights some great panel discussions you won't want to miss.

Picture of Michael  Hochman

Medicare recently announced it is likely to cover a diabetes prevention program that has been shown to be highly effective. Our Slow Medicine team explains why that’s exciting news for pre-diabetic patients.

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