Tag Archives: ‘Medicare

Aduhelm and Alzheimer’s Disease: A Potential Medicare Budget-Buster Puts A Blazing Light on Health Care Costs and Innovation

The FDA’s approval of the first therapy to treat Alzheimer’s Disease in over twenty years brought attention to a not-yet-convened debate of U.S. health care costs and spending, innovation, and return-on-the-investment (as well as “for whom” do the returns accrue). In my latest post for Medecision, I explore different angles on the Aduhelm and Alzheimer’s… Read More »

Lawmakers Seek to Address Medicare Vaccine ‘Sticker Shock’

Congress.gov: “H.R.1978 — Protecting Seniors Through Immunization Act of 2021,” “S.912 — Protecting Seniors Through Immunization Act of 2021.” EnergyCommerceHouse.gov: “L.J. Tan, MS, PhD, Chief Strategy Officer, Immunization Action Coalition, Testimony Before the House Energy and Commerce Committee Subcommittee on Health.” Avalere: “Medicare Part D Plans Continue to Require Cost Sharing for Vaccines.” Immunization Action… Read More »

Inside Cano Health’s SPAC IPO & Tailoring Medicare Advantage Primary Care for the Latino Market

Health Tech Apr 22, 2021• By JESSICA DaMASSA, WTF HEALTH Healthcare SPAC-trackers interested in placing bets on value-based primary care for the lucrative Medicare Advantage market will love hearing Cano Health’s CEO Marlow Hernandez dive into the details behind his company’s $ 4.4B valuation and 7,000% three-year growth rate. Cano Health’s clinics provide “primary care… Read More »

Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds

A Humana Inc. health plan for seniors in Florida improperly collected nearly $ 200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money. The Health and Human Services Office of Inspector General’s recommendation to repay, if finalized, would be “by far… Read More »

B.C. medicare ruling clashes with 2005 Supreme Court decision that said Quebec can’t ban private health insurance

Article content continued But there were nuances. Three of the seven judges said the insurance ban violated section-7 of the Charter, while one just said it breached a similar section of the Quebec bill of rights and declined to deal with the Charter. Three judges dissented, which meant there was a three-three tie on the… Read More »