Tag Archives: Medicare

SCOTUSblog Argument Preview: Azar v. Allina Health Services

by Bridget C.E. Dooling — Wednesday, Jan. 9, 2019@BridgetDooling

Over at SCOTUSblog, health law and admin law dynamos Abbe R. Gluck and Anne Joseph O’Connell joined forces to write a helpful argument preview for a case that will be argued at the Supreme Court next week. Azar v. Allina Health Services is both a Medicare case and an interpretive rule case; a complexity two-fer, if […]

Two Misplaced Objections to the Risk Corridor Lawsuits

by Nicholas Bagley — Friday, June 10, 2016

By my count, health plans have filed five separate lawsuits in the Court of Federal Claims seeking money that they’re owed under the risk corridor program. As I’ve explained here and here, I think the lawsuits have merit, which is why I expect to see a lot more of them. If you’re a health plan, […]

Irresistible Forces, Immovable Objects, and Medicare

by Nicholas Bagley — Friday, Feb. 19, 2016

The D.C. Circuit has released a fascinating opinion about the total meltdown of Medicare’s system of internal appeals. The case brings to mind the old paradox of the irresistible force and the immovable object: it’s genuinely vexing and about as difficult to solve. As I explained eighteen months ago, Medicare’s got a big problem on […]

Why is CMS Withholding Substance Use Data from Researchers?

by Nicholas Bagley — Monday, Dec. 8, 2014

According to recent reports, CMS has begun withholding from researchers Medicare and Medicaid claims data relating to substance use diagnoses and related procedures. The agency’s decision will impair research relating not only to substance use, but also any research that depends on unbiased Medicare and Medicaid data. Much of that research is designed to improve […]

Crashing Medicare

by Nicholas Bagley — Monday, Sept. 15, 2014

Two weeks ago, Medicare announced a proposed settlement in a long-running billing dispute with hospitals. The size of the settlement is staggering: if accepted, it could end up costing the federal government hundreds of millions of dollars. The settlement also signals deep problems in one of Medicare’s flagship programs for eliminating wasteful spending. At its […]