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Medicare

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.

Picture of Maggie Clark

Kids need access to health care and healthy food, and they need their parents to be educated to advocate for them.

Picture of Kellie  Schmitt

A new Health Matters webinar this week explored just how different the health care spending map looks when researchers are given access to price and spending data from private insurance plans.

Picture of Monya De

Have we incentivized electronic checkboxes at the expense of more deliberate, thoughtful ways of practicing medicine? Dr. Monya De suggests that today's focus on efficiency and technology leaves little time for actual doctoring.

Picture of Kellie  Schmitt

Across the country, patients who receive out-of-network care can face “exorbitant” charges for medical services compared to Medicare’s rates for the same procedures, and the prices can vary dramatically. But what explains these differences? It depends on who you ask.

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