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Medicare

Recent stories have looked at drug price hikes, the expanded use of AI in medical care and Medicare Advantage issues. You’ll also find in-depth coverage from Washington on Medicare drug price negotiations and expanded oversight of pharmacy benefit managers.

Latest

Politics Rachel Cohrs Zhang

STAT Plus: Judge rules against Boehringer Ingelheim in pharma’s latest legal loss on Medicare negotiation

D.C. Diagnosis Sarah Owermohle

STAT Plus: Making sense of the debate’s health care debate

First Opinion Alissa S. Chen

Medicare should wait on approving coverage for new obesity drugs

Health Isabella Cueto

STAT Plus: Medicare’s big experiment to fix kidney failure care hasn’t worked so far, studies say

The Readout Meghana Keshavan

STAT Plus: Will Medicare finally begin covering weight loss drugs like Zepbound and Wegovy?

First Opinion Annette Ansong, Rachel Bond, and Tiffany Powell-Wiley

Medicare’s Part D policy is blocking progress needed to achieve Black health equity

Politics Rachel Cohrs Zhang, John Wilkerson, and Lizzy Lawrence

STAT Plus: House panel passes bills to expand Medicare obesity drug coverage, cancer screening

The Readout Elaine Chen

STAT Plus: Exclusive: European VC Forbion hires Dyne CEO, expands in US

All Coverage

D.C. Diagnosis Sarah Owermohle

STAT Plus: Senators push Medicare for a PET scan pay bump

Business Bob Herman

STAT Plus: Biden administration to recalculate Medicare Advantage quality ratings and bonuses

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Health Care Inc. Bob Herman

STAT Plus: Humana scores a win in a Medicare Advantage case

Business Bob Herman

STAT Plus: Medicare Advantage plan’s quality ratings were incorrectly calculated by government, judge rules

First Opinion Carolyn Clevenger

Outdated Medicare rules prevent some dementia patients from getting the medications they need

Health Care Inc. Bob Herman

STAT Plus: A short-lived Medicaid freakout sends insurers’ stocks diving

Hospitals Tara Bannow

STAT Plus: Physicians take Medicare Advantage to task for rural patients’ care gaps

Health John Wilkerson

STAT Plus: Value-based payment is getting renewed attention. What it means isn’t getting any clearer

Insurance Bob Herman and Casey Ross

UnitedHealth argues algorithm lawsuit should be dismissed because patients didn’t spend years appealing denials

Health Care Inc. Bob Herman

STAT Plus: Class action against UnitedHealth asks about DOJ probe transparency

Insurance Bob Herman

STAT Plus: CVS is willing to dump 10% of its Medicare Advantage members next year

Health Care Inc. Bob Herman

STAT Plus: The stories that shaped our understanding of the health care system

First Opinion Brian Hurley and Paul N. Samuels

Congress: Close Medicare’s dangerous gaps in coverage for addiction treatment

The Readout Meghana Keshavan

STAT Plus: The public wants Medicare to cover obesity drugs

Health Care Inc. Bob Herman

STAT Plus: UnitedHealth CEO downplays his company’s control over physicians

Politics John Wilkerson

STAT Plus: Senate drug shortage bill would pay hospitals bonuses for good contracting practices

Politics Mario Aguilar and Rachel Cohrs Zhang

STAT Plus: Lawmakers unlikely to permanently extend telehealth flexibilities this year

Business Tara Bannow

STAT Plus: CVS went hard after Medicare Advantage patients, now it’s retreating

Politics Rachel Cohrs Zhang

STAT Plus: Federal judge rules against two drugmakers challenging Medicare drug price negotiation program

Health tech Lizzy Lawrence

STAT Plus: Medicare official says breakthrough device reimbursement rule coming in early summer

Health Care Inc. Bob Herman

Medicare expects a big spike in spending on Leqembi