Medicare Part B spent $9.3 billion on laboratory tests in 2021, a recent report from the Office of Inspector General (OIG) found. This represents a 17% increase from 2020, when spending was at $8 ...

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

In 2016 Medicare introduced advance care planning Current Procedural Terminology (CPT) codes to reimburse clinicians for time spent providing the service. Despite recent increases, use of these codes ...

Implementing the Medicare $2 drug list model would have reduced out-of-pocket spending by 63% for Part D beneficiaries in 2021. The model caps cost-sharing at $2 for a 30-day supply of 101 generic ...

One in six Medicare beneficiaries had a telehealth visit from 2021 to 2023, according to a study published in Annals of Internal Medicine. “Telehealth has become much more common post-[COVID-19] ...

Medicare health insurance premiums can add up to major bucks — especially if you’re upper-income, married, and both you and your spouse are paying. This column lists the 2022 Medicare health insurance ...

Numerous studies show that employer plans pay providers significantly more than Medicare, but less is known about prices in nongroup plans sold both on and off the Marketplaces established by the ...