Accountable Care Organizations: Like H.M.O.s, but Different

20up Health thumbStandard Accountable Care Organizations: Like H.M.O.s, but DifferentNew payment models seek to put more responsibility for cost control and quality improvement on health providers, and more, but not all, of the risk.

Head of Medicare and Medicaid Agency Is Stepping Down

17medicare thumbStandard Head of Medicare and Medicaid Agency Is Stepping DownMarilyn B. Tavenner, the administrator of the federal Centers for Medicare and Medicaid Services, helped preside over the rollout of sweeping changes in the nation’s health care system.

Clinic That Treated Joan Rivers Will Lose Federal Funding

RIVERSweb1 thumbStandard v2 Clinic That Treated Joan Rivers Will Lose Federal FundingYorkville Endoscopy, on the Upper East Side, has failed to correct the deficiencies implicated in Ms. Rivers’s death, according to a letter released by the government Monday.

Justice Dept. Sues Doctor Paid Richly by Medicare

The lawsuits accuse Dr. Asad Qamar of billing Medicare for unnecessary operations, and paying kickbacks to patients by waiving their bills.

Do No Harm? It May Be Hard to Avoid With Health Law’s Medicare Cuts

06 up health thumbStandard Do No Harm? It May Be Hard to Avoid With Health Law’s Medicare CutsHundreds of billions of dollars may be saved, but research suggests those cuts may hurt patients.

Echocardiogram: A Valuable Tool for the Clinician

Neil J. Weissman of the American Society of Echocardiography responds to an article about the varying costs of echocardiograms.

U.S. Health Care Lags Worldwide for Those Over 65

The United States still has mortifying lapses and problems, despite spending more on health care than any country in the world, a new Commonwealth Fund report reveals.

Paid to Promote Eye Drug, and Prescribing It Widely

08EYE thumbStandard Paid to Promote Eye Drug, and Prescribing It WidelyHalf of the 20 doctors who received the most money from Genentech to promote its drug Lucentis in 2013 were among the highest users of the drug in 2012, a federal database shows.

Hospitals and Health Law

Kenneth E. Raske of the Greater New York Hospital Association writes that efforts to dismantle the Affordable Care Act are “bad news for America’s hospitals.”

Pace of Health Care Cost Increases Falls to a 54-Year Low

The data for 2013 did not show, however, whether cost controls in the Affordable Care Act or the aftereffects of the recession were responsible for the slowdown.

Part D for Drug Coverage — and Drudgery

Like doing our taxes, signing up for Medicare Part D, the insurance program for drug coverage, takes days out of our lives and leaves us sitting in a heap of papers with a splitting headache.

When Health Coverage Expansion Means Longer Waits for a Doctor

25up health thumbStandard When Health Coverage Expansion Means Longer Waits for a DoctorWith more patients seeking care and the same number of providers, the outcome seems obvious. Yet research points to possible solutions.

Private Sector in Health

Robert I. Field of Drexel University writes that “the symbiosis between the government and private insurers under the Affordable Care Act should come as no surprise.”

Tip on Medicare Spurs Insider Trading Investigation

insiderjp thumbStandard Tip on Medicare Spurs Insider Trading InvestigationFederal regulators are looking into whether a report by Height Securities that led to stock price jumps among health insurers was based on information obtained illegally.

In Control, Republican Lawmakers See Budget as Way to Push Agenda

BUDGET web thumbStandard In Control, Republican Lawmakers See Budget as Way to Push AgendaCongressional Republicans have plans to transform Medicare and Medicaid and to cut taxes for high earners, measures once out of reach with Democrats controlling the Senate.