Whats a fair price to pay for prescription drugs? Medicare will soon face this and other tough questions when it begins historic price negotiations with drugmakers.

The rapid growth of private Medicare Advantage plans is raising questions about what care could and should look like for all 80 million people expected to be on Medicare by 2030.

A federal pilot project tests handing the reins of some hospice care over to private insurers. The experiment, which began in 2021, could ultimately transform the end of life care available to millions of Americans.

Considering the countrys divided Congress, Americans shouldnt hold their breath for major health reform legislation this year. On the other hand, 2023 is shaping up to see some incredibly consequential health policy changes that could impact millions.

An overhaul of Medicares prescription drug benefit will lower costs for seniors while changing incentives for insurers and drugmakers.

Indianapolis-based health insurance giant Elevance Health, previously Anthem, Inc., will have to face a federal lawsuit alleging it pocketed at least tens of millions of dollars by submitting inaccurate claims to the U.S. Centers for Medicaid & Medicare Services.

The Inflation Reduction Act gives Medicare historic new powers to lower prescription drug prices, but lawsuits, loopholes and opposition from the drug industry could undermine them.

Administrative burdens — like haggling with insurers over payments — cut into the already low reimbursement rates Medicaid provides doctors for services. This can disincentivize doctors from accepting Medicaid, according to a new working paper from the University of Chicago.

Indiana has received approval to continue its Healthy Indiana Plan, or HIP, for 10 more years. The state says this will help continue health coverage for more than 500,000 low-income adult Hoosiers.

The DOJ alleges the network paid physicians well above market value for referrals and paid bonuses to physicians if they referred a certain number of patients to the hospital.