Update

Instead of jumping to GLP-1 drugs that can be costly, a step therapy approach guides patients by offering individualized care with behavioral changes, followed by mental health support and Gen 1 anti-obesity meds.

Congress is considering legislation that would equalize payments for certain services regardless of where they are provided, but for now, patients need to have doctors send the order to a commercial lab like Labcorp or Quest.

In the new report released last week, the agency reveals it recovered $4.9 billion in overpayments but still has a $23 billion uncollected overpayment balance, despite repeated attempts to contact beneficiaries.

Since the FDA greenlighted Novavax last month, clinical studies claiming less fevers and fatigue have driven people with long COVID and chronic fatigue syndrome to seek out the protein-based vaccine.

Since the IRS announced the moratorium on new ERC claims in September, the agency has now released new guidelines for small employers that wish to cancel their claim if they have doubts about its legitimacy.

A new rule, which is set to take effect Jan. 1 and requires PBMs to take most of their "performance fees" at the time prescriptions are filled, is adding to the woes of the independent drugstores it was partly designed to help.

The Affordable Care Act requires insurers to cover a variety of preventive services without a patient paying out-of-pocket, but it is not uncommon for medical practices to narrowly interpret the term "preventive service."

Under pressure from patient advocates and government regulators, credit agencies have taken steps to remove some medical debts from credit reports, but this could be costing physicians nationwide potentially billions of dollars.