Lawrence Wilson
Senior Reporter
Lawrence Wilson covers healthcare and politics.
LATEST
Senate Panel Advances Bill to Make Hospitals Compete on Price
The bill would extend current price transparency regulations and enshrine them in law, advancing a key Trump administration priority.
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How Medical Upcoding Made People Look Sick, Increased Medicare Payments
By adding diagnoses to a patient’s risk analysis that no doctor had ever indicated, an insurance company can gain additional federal payments.
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Medicare to Reward Doctors for Health Outcomes Rather Than Services Alone
Proposed payment rules for 2027 will prioritize accountable care organizations, rewarding physicians for maintaining patient wellness.
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How Big Healthcare Companies Keep Drug Prices High
A handful of large corporations now control medication availability, pricing, and payment for the vast majority of Americans.
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Feds Aim to Tighten Drug Payment Loophole, Save Taxpayers Billions
A new proposed rule would cut Medicare reimbursement by 40 percent on prescription drugs for providers who already get large discounts.
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Obamacare Premiums Likely to Rise in 2027, Analysts Say
The findings are based on a study of early rate requests by Obamacare insurers in 16 states.
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Big Pharma and Big Medical Locked in Standoff Over Drug Discounts: What to Know
Lawmakers have urged Robert F. Kennedy Jr. to end the dispute between Eli Lilly and major hospital systems over prescription drug discounts and rebates.
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New Jersey Fines Large Employers With Workers on Medicaid
The new budget provision levies a fee on companies with 50 or more full-timers receiving Medicaid benefits.
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States Take the Lead on Pharmacy Benefit Managers, Prior Authorization Reform
Florida tightens pharmacy benefit managers rules. Iowa bars insurer interference in physician referrals and restricts insurer pre-approval denials.
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