June 2024
The transformation of Medicare Part D with an examination of the new out-of-pocket cap and Medicare prescription payment and the challenges of realizing heat equity in extreme heat.
May 2024
The FDA’s final rule on LDTs, the TEAM model and value-based care, an opportunity to advise CMS on addressing prior authorization issues in the Medicare Advantage Program.
April 2024
Medicare and Medicaid Disproportionate Share Hospital programs, our visit to MedTrade, and the inaugural edition of our new column on artificial intelligence.
March 2024
A primer on CMS’s competitive bidding and the history of the Scribner shunt.
February 2024
FDA & CMS indicate alignment on regulatory approach to LDTs and the federal government’s strategies to protect American healthcare from cyberattacks.
January 2024
A primer on HCPCS and a look at the continuing threat of ransomware in healthcare.
December 2023
Physician licensing, credentialing, and privileging and look back at the year in healthcare policy.
November 2023
An explanation of CPT® in the second installment of our series on medical coding and an examination of the implications of underrepresenting Native Americans in medical research.
October 2023
The first installment of our series on ICD-10-CM, CMS’s implementation of the discarded drug refund program, and summaries of pertinent regulations.
September 2023
Challenges in risk adjustment, HHS’s use of AI, and summaries of CMS rules.
July/August 2023
Administrative Law Judges in the Office of Medicare Hearings and Appeals, Prior authorizations and health equity
