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2025-01-06
Robert F. Kennedy Jr. and his advisers are considering an overhaul of Medicare’s decades-old payment formula, a bid to shift the health system’s incentives toward primary care and prevention, said four people who spoke on the condition of anonymity to discuss private deliberations. The discussions are in their early stages, the people said, and have involved a plan to review the thousands of billing codes that determine how much physicians get paid for performing procedures and services. The coding system tends to reward health care providers for surgeries and other costly procedures. It has been accused of steering physicians to become specialists because they will be paid more, while financial incentives are different in other countries, where more physicians go into primary care — and health outcomes are better. Although policymakers have spent years warning about Medicare’s billing codes and their skewed incentives, the matter has received little national attention given the challenge of explaining the complex issues to the public, the technicalities of billing codes and the financial interests for industry groups accustomed to how payments are set. “It’s a very low-salience issue,” said Miriam Laugesen, a Columbia University professor who has written a book, “Fixing Medical Prices,” about Medicare’s physician payments. “The prominent stakeholders in this area would probably prefer to keep it that way.” Kennedy was selected this month by President-elect Donald Trump to lead the Department of Health and Human Services and has been drawing up plans to roll out his “Make America Healthy Again” agenda, a set of ideas to reduce the causes of chronic disease and childhood illness. The position requires Senate confirmation. A spokesperson for Kennedy did not respond to a request for comment. Medicare’s billing codes are shaped by the American Medical Association, which represents more than 250,000 physicians. The lobbying group oversees a panel of several dozen physicians — known as the AMA/Specialty Society RVS Update Committee, more commonly referred to as the RUC — who study the resources needed for each medical service and issue recommendations to the federal government. While those recommendations are not binding, federal officials overwhelmingly accept them and use them to set reimbursement for doctors’ duties. The panel’s recommendations have historically been skewed by misleading estimates of how physicians spend their time, according to a 2013 Washington Post investigation. For instance, the Post found that the RUC repeatedly inflated the amount of time a doctor needed to perform a procedure. The AMA also collects millions of dollars in revenue from its work to develop and recommend billing codes, with the lobbying group conducting trainings, selling books and charging royalties. The AMA declined to comment. Lawmakers have spent decades questioning why physicians play a role in setting their own federal payments. Trent Lott, the Mississippi Republican who served as Senate minority leader, in 2001 took aim at the lobbying group’s influence, calling to strip the AMA’s copyright for the codes. Senators say those concerns have persisted. “I’ve long been concerned with this secretive AMA committee setting their own payment rates from Medicare,” Sen. Elizabeth Warren (D-Massachusetts) said in a statement to the Post on Wednesday. “It’s just plain unethical — these recommendations should be made in the best interest of patients and taxpayers, not a handful of well-connected insiders.” Sens. Sheldon Whitehouse (D-Rhode Island) and Bill Cassidy (R-Louisiana) also have launched an effort to overhaul physician payments, asking for feedback this year on creating a federal committee — separate from the RUC — to advise on billing codes. Cassidy is the incoming chairman of the Senate health committee. Kennedy and his aides are looking to work with the AMA on changes to the billing codes, said one of the people familiar with the discussions. The medical association has said that some criticisms of its process are outdated and that hospitals, health insurers and other industry representatives provide input as well to Medicare that shapes payment rates for those organizations. STAT News first reported that Kennedy and his aides were discussing changes to Medicare payments. Any federal attempt to overhaul billions of dollars in annual payments to health-care providers appears destined to spark an intense lobbying effort to stymie the changes or shift them to reward certain procedures, experts said. The billing codes are implemented by the Centers for Medicare and Medicaid Services, commonly known as CMS. Trump on Tuesday selected Mehmet Oz, a cardiothoracic surgeon and longtime TV personality, to lead CMS. “Our CMS codes embed a system that waits for Americans to get sick and profits,” Calley Means, a Kennedy adviser, posted Wednesday on X, commenting on Oz’s selection. If Kennedy and Oz are confirmed, they would play significant roles in reshaping the Medicare coding system. Many public health officials and experts have been alarmed by Trump’s selection of Kennedy to lead HHS, saying his longtime vaccine skepticism makes him an unacceptable choice to oversee agencies responsible for the nation’s vaccine supply. Kennedy has repeated debunked claims about a link between vaccines and autism, written that coronavirus vaccines were a “crime against humanity” and made other statements that experts say undermine confidence in shots credited with eliminating diseases such as polio in the United States and saving millions of lives globally. “I think the most dangerous thing about the nominee for secretary is his view on vaccines,” Kathleen Sebelius, who served as HHS secretary during the Obama administration, told CNN this week. “That is enormously dangerous and life-threatening for people in this country and across the globe.” Kennedy, who founded a prominent anti-vaccine group, has said he is not anti-vaccine and would focus federal vaccine efforts on conducting additional research. He and his allies have said the former Democrat is trying to shake up incentives that produce poor health outcomes in the U.S. health system, citing elevated rates of chronic disease and other public health problems that outpace other high-income countries. Kennedy and his aides have pinned some of the blame on entrenched industry groups, including the pharmaceutical industry, and criticized conflicts of interest between drugmakers and physicians. “There is a culture of looking at all levers of our healthcare system with fresh eyes to deliver wins for the American people,” a person with knowledge of the discussions wrote in a text message to the Post. A variety of groups and observers have long called for changes in how Medicare pays physicians. The Government Accountability Office, a nonpartisan watchdog, in 2015 called for more transparency around how physician payment rates are set and warned of potential conflicts of interest among the AMA physicians who make recommendations. “It is clear that the RUC process is broken and that the AMA has no interest in even minor changes,” the Center for American Progress, a left-leaning think tank, wrote in 2018. “This cabal wields its influence to favor costly specialty care over primary care, and the prices of physician services skyrocket, year after year,” Joe Lonsdale, a Silicon Valley entrepreneur and Republican donor, wrote in 2019.wow888com
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NEW YORK , Nov. 25, 2024 /PRNewswire/ -- The global secondary tickets market size is estimated to grow by USD 132.1 billion from 2024-2028, according to Technavio. The market is estimated to grow at a CAGR of 34.25% during the forecast period. Rising popularity of sports events is driving market growth, with a trend towards adoption of dynamic pricing. However, growing consumption of online content poses a challenge. Key market players include Ace Ticket LLC, Anschutz Entertainment Group Inc., Citizen Ticket Ltd., Coast To Coast Tickets LLC, CTS Eventim AG and Co. KGaA, eBay Inc., Eventbee Inc., Eventbrite Inc., Face-value Alliance Ticketing Ltd., Ideabud LLC, Live Nation Entertainment Inc., PrimeSport LLC, SeatGeek Inc., Ticket City Inc., TicketNetwork Inc., TickPick LLC, TiqIQ LLC, Twickets Ltd., Viagogo Entertainment Inc., and Vivid Seats Inc., StubHub, Ticketmaster, Razorgator, TicketIQ, TicketNetwork, Gametime AI-Powered Market Evolution Insights. Our comprehensive market report ready with the latest trends, growth opportunities, and strategic analysis- View Free Sample Report PDF Forecast period 2024-2028 Base Year 2023 Historic Data 2018 - 2022 Segment Covered Type (Sports events, Concerts, Performing arts, and Movies), Mode Of Booking (Online and Offline), Usre, and Geography (North America, Europe, APAC, South America, and Middle East and Africa) Region Covered North America, Europe, APAC, South America, and Middle East and Africa Key companies profiled Ace Ticket LLC, Anschutz Entertainment Group Inc., Citizen Ticket Ltd., Coast To Coast Tickets LLC, CTS Eventim AG and Co. KGaA, eBay Inc., Eventbee Inc., Eventbrite Inc., Face-value Alliance Ticketing Ltd., Ideabud LLC, Live Nation Entertainment Inc., PrimeSport LLC, SeatGeek Inc., Ticket City Inc., TicketNetwork Inc., TickPick LLC, TiqIQ LLC, Twickets Ltd., Viagogo Entertainment Inc., and Vivid Seats Inc., StubHub, Ticketmaster, Razorgator, TicketIQ, TicketNetwork, Gametime In the secondary tickets market, dynamic pricing is a popular strategy used by teams and event organizers to set flexible prices based on current demand. This approach allows ticket prices to fluctuate based on factors such as holidays, injuries, team records, day of the week, and weather forecasts. By implementing dynamic pricing, these entities can recover revenue that would otherwise go to scalpers or third-party vendors, reducing ticket touting. Dynamic pricing also helps undercut secondary prices, forcing scalpers to lower their own prices and bringing exchange prices closer to face value. Although this strategy decreases buying volume and profit margins in secondary markets, it effectively combats fraudulent activities and overpricing. Notable secondary ticket vendors employing dynamic pricing include Live Nation Entertainment and TiqIQ. The secondary ticket market continues to be a significant trend in the events industry. With the increasing popularity of concerts, sports, and other live events, the demand for secondary tickets has grown. Companies offer various platforms for fans to buy and sell tickets, providing convenience and flexibility. Events like the Super Bowl, Coachella, and the World Cup generate high demand for secondary tickets. The use of digital platforms and secure payment methods has made the process more efficient and trustworthy. However, concerns around ticket prices and authenticity remain. Consumers must exercise caution and ensure they purchase tickets from reputable sources. The market for event tickets is expected to continue growing, offering opportunities for businesses to innovate and provide better services to customers. Insights on how AI is driving innovation, efficiency, and market growth- Request Sample! • The global secondary tickets market faces challenges due to the rise of online content consumption. In 2021, a significant increase in Internet speeds and affordable data plans led to a growth in online streaming of live events and movies. In the US, over 70% of adults watch weekly online videos, preferring long-form content. Media companies partner with tech providers to expand their online platforms, renewing and adding seasons to successful shows. This trend negatively impacts the secondary tickets market, particularly for sports events and movies, during the forecast period. • In the secondary ticket market, one of the significant challenges is the issue of authenticity and reliability. Fraudulent tickets can be a major concern for both buyers and sellers. Another challenge is the high demand for popular events, leading to exorbitant prices for tickets. This can create a disparity between the face value and the market price. Additionally, the lack of a centralized platform for ticket sales can make it difficult to ensure fair pricing and prevent price gouging. Furthermore, the convenience of online ticket sales comes with its own set of risks, such as cybersecurity threats and identity theft. Lastly, the time difference in ticketing for international events can pose challenges for buyers in different time zones. These issues require constant attention and innovative solutions to ensure a secure and transparent market for secondary tickets. Insights into how AI is reshaping industries and driving growth- Download a Sample Report This secondary tickets market report extensively covers market segmentation by 1.1 Sports events- The secondary tickets market refers to the sale of tickets for events that have already been purchased by individuals but are now being resold. This market provides an opportunity for fans to purchase tickets to sold-out events. It operates through various platforms, including online marketplaces and brokers. The demand for secondary tickets is driven by the desire to attend popular events that may have limited ticket availability. The market functions based on supply and demand principles, with prices fluctuating according to the availability and desirability of the tickets. It's essential to note that the purchase of secondary tickets may come with additional fees and potential risks, such as the possibility of counterfeit tickets. Download complimentary Sample Report to gain insights into AI's impact on market dynamics, emerging trends, and future opportunities- including forecast (2024-2028) and historic data (2018 - 2022) The secondary tickets marketplace experiences significant demand during sold-out concerts, big athletic events, and blockbuster theatrical plays. This demand often leads to a spike in prices, making tickets unaffordable for sincere fans. The resale of tickets through unofficial channels and third-party platforms poses moral concerns and risks, including fraudulent activities, unfair competition, and deceptive advertising. Dishonest persons use automated software and bots to buy tickets in restricted quantities, leading to inflated prices and exorbitant costs. Ethical considerations and customer trust are crucial in this market, as fans seek convenience without falling victim to fraudulent scalpers. The Secondary Tickets Market refers to the sale and purchase of tickets for events that have already been issued. This market operates independently of the primary market, which sells tickets directly from the event organizers or venues. The demand for secondary tickets arises due to various reasons such as unavailability of tickets in the primary market, high demand for popular events, or the convenience of purchasing tickets closer to the event date. The market for secondary tickets is regulated by various laws and regulations to prevent fraudulent activities and ensure fair pricing. The use of technology, such as mobile applications and websites, has significantly increased the accessibility and convenience of buying and selling secondary tickets. The market for secondary tickets is a dynamic one, with prices fluctuating based on various factors such as demand, supply, and the proximity of the event date. 1 Executive Summary 2 Market Landscape 3 Market Sizing 4 Historic Market Size 5 Five Forces Analysis 6 Market Segmentation 7 Customer Landscape 8 Geographic Landscape 9 Drivers, Challenges, and Trends 10 Company Landscape 11 Company Analysis 12 Appendix Technavio is a leading global technology research and advisory company. Their research and analysis focuses on emerging market trends and provides actionable insights to help businesses identify market opportunities and develop effective strategies to optimize their market positions. With over 500 specialized analysts, Technavio's report library consists of more than 17,000 reports and counting, covering 800 technologies, spanning across 50 countries. Their client base consists of enterprises of all sizes, including more than 100 Fortune 500 companies. This growing client base relies on Technavio's comprehensive coverage, extensive research, and actionable market insights to identify opportunities in existing and potential markets and assess their competitive positions within changing market scenarios. Technavio Research Jesse Maida Media & Marketing Executive US: +1 844 364 1100 UK: +44 203 893 3200 Email: media@technavio.com Website: www.technavio.com/ View original content to download multimedia: https://www.prnewswire.com/news-releases/secondary-tickets-market-size-is-set-to-grow-by-usd-132-1-billion-from-2024-2028--rising-popularity-of-sports-events-to-boost-the-revenue--technavio-302315097.html SOURCE TechnavioGreg Norman talks about why LIV Golf chose Westfield for tournamentDollar stores face major headwind from the Trump administration
As Amazon use of warehouse robots expands, what will it mean for workers?US News Today Live Updates: In today’s dynamic landscape, staying updated on the latest developments across the United States is essential. US News delivers the most impactful and current stories from coast to coast, covering a broad spectrum of topics, including politics, economic trends, healthcare, social issues, and cultural shifts. From significant government actions and economic shifts to breakthroughs in technology and the latest social debates, we provide real-time updates and thoughtful analysis to keep you informed. Our goal is to keep you connected to the stories that shape American life, ensuring you’re always in the know on the news that matters. US News Today Live: Donald Trump says US should avoid Syria: ‘This is a mess, but not our fight, let it play out’ US News Today Live: Ariana Grande's powerful response to body shaming critics—The Wicked star's message will leave you speechless
Romania braces for parliamentary vote after far right's poll upsetNEW YORK -- President-elect Donald Trump , largely ensconced at Mar-a-Lago in recent weeks, will make a rare appearance outside his Florida resort to accept the “Patriot of the Year" award at Fox Nation’s Patriot Awards on Thursday night. Trump, who has been announcing job picks as he builds out his administration, will travel to New York's Long Island for the annual awards ceremony from the Fox News streaming platform. The event is being hosted by Fox host Sean Hannity, a friend of Trump's who stepped in after the president-elect nominated Pete Hegseth , the original host, as defense secretary. The annual awards “honor and recognize America’s finest patriots, including military veterans, first responders and other inspirational everyday heroes,” according to Fox. They are meant to honor “unsung heroes and real patriots" who “never get any recognition,” Hannity told Fox News Digital , with categories including the “Fox Nation Award for Service to Veterans” and the “Fox Nation Culture Warrior Award." Trump wrote on his Truth Social site earlier this week that he looked "greatly forward" to receiving the Patriot of the Year award, an honor he called “so nice!” Among those recognized last year were bestselling author James Patterson, five Nashville police officers who responded to the Covenant School shooting in 2023, and Tiffany Justice and Tina Descovich, the founders of the conservative parental rights group Moms for Liberty, which emerged in 2021 and drew attention for its efforts to strip mentions of LGBTQ+ identity and structural racism from classrooms. Trump's award marks the culmination of Fox's reembrace of the president-elect, who has had an up-and-down relationship with the network in recent years. The network paid $787 million in 2023 to settle a defamation lawsuit by Dominion Voting Systems over false claims by Fox personalities who echoed Trump's lies that the 2020 election was stolen from him through mass voter fraud. For more than six months ending in spring 2023, Fox had what many considered a “soft ban” on Trump appearances, its leaders looking to move on. But when it became clear that voters did not want to, Fox and its personalities were quick to embrace Trump again. Individual personalities have undergone their own journeys: Former Fox host Megyn Kelly drew Trump’s ire in a 2015 debate for her sharp question about his treatment of women; now she’s a popular podcast host and Trump supporter. The Dominion lawsuit uncovered emails in which former Fox host Tucker Carlson spoke disparagingly of Trump, including saying he “truly can’t wait” for Trump to become an ex-president. They’ve since made amends. Through it all, Trump has been quick to take to social media to criticize Fox for content he deems insufficiently loyal. Trump has begun to emerge more in public since spending most of his transition so far behind closed doors at his club in Palm Beach, Florida. This week, he made an unannounced appearance at a memorial service for three Palm Beach County Sheriff’s Office deputies who were killed in a car crash last month. And this weekend, he will travel to Paris to join other world leaders and dignitaries for a ceremony to celebrate the reopening of Notre Dame Cathedral , which was devastated by a fire five years ago. ___ AP Media Writer David Bauder contributed to this report.
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NoneWASHINGTON (AP) — In the two weeks since Donald Trump won the presidency, he’s tried to demonstrate his dominance by naming loyalists for top administration positions, even though many lack expertise and some face sexual misconduct accusations. It often seems like he’s daring Congress to oppose his decisions. But on Thursday, Trump’s attempt to act with impunity showed a crack as Matt Gaetz , his choice for attorney general, withdrew from consideration. Trump had named Gaetz, a Florida congressman, to be the country’s top law enforcement official even though he was widely disliked by his colleagues, has little legal experience and was accused of having sex with an underage girl, an allegation he denied. After being plagued by investigations during his first presidency, Trump wanted a devoted ally in charge of the Justice Department during his second. However, it was never obvious that Gaetz could win enough support from lawmakers to get confirmed as attorney general. Trump chose for a replacement Pam Bondi, a former Florida attorney general who defended him during his first impeachment trial and supported his false claims of voter fraud. RELATED COVERAGE Several of Trump’s Cabinet picks — and Trump himself — have been accused of sexual misconduct Police report reveals assault allegations against Hegseth, Trump’s pick for defense secretary Former West Virginia jail officers plead guilty to civil rights violation in fatal assault on inmate Now the question is whether Gaetz was uniquely unpalatable, or if Trump’s other picks might exceed his party’s willingness to overlook concerns that would have sunk nominees in a prior political era. What to know about Trump’s second term: Staffing the administration: Here are the people Trump has picked for key positions so far. Plus, a look at recess appointments and how could Trump use them to fill his Cabinet. Follow all of our coverage as Donald Trump assembles his second administration. The next test will likely be Pete Hegseth, who Trump wants to lead the Pentagon despite an allegation of sexual assault that he’s denied. So far, Republicans are rallying around Hegseth , an Army veteran and former Fox News host. Sen. Thom Tillis, a North Carolina Republican who serves on the Senate Judiciary Committee, said the controversy over Gaetz would have little bearing on Trump’s other choices. He said they would be considered “one at a time.” Sen. Richard Blumenthal, a Connecticut Democrat, suggested otherwise, claiming “the dominoes are falling.” “The drip drip of evidence and truth is going to eventually doom some others,” he said. Trump’s election victory was a sign that there may not be many red lines left in American politics. He won the presidential race despite authoritarian, racist and misogynist rhetoric, not to mention years of lies about election fraud and his role in sparking the Jan. 6, 2021, attack on the U.S. Capitol. He was also criminally convicted of falsifying business records to pay hush money, and he was found liable for sexual abuse in a civil case. Empowered by voters who looked past his misconduct and saw him as a powerful agent of change, Trump has shown no deference to Washington norms while working to fill his second administration . The transition team hasn’t pursued federal background checks for Trump’s personnel choices. While some of his selections have extensive experience in the areas they’ve been chosen to lead, others are personal friends and Fox News personalities who have impressed and flattered Trump over the years. Several have faced allegations involving sexual misconduct . Hegseth is facing the most scrutiny after Gaetz. Once Trump announced Hegseth as his nominee for Pentagon chief, allegations emerged that he sexually assaulted a woman in California in 2017. The woman said he took her phone, blocked the door to the hotel room and refused to let her leave, according to a police report made public this week. Hegseth told police at the time that the encounter had been consensual and denied any wrongdoing, the report said. However, he paid the woman a confidential settlement in 2023. Hegseth’s lawyer said the payment was made to head off the threat of a baseless lawsuit. Trump’s choice for secretary of health and human Services, Robert F. Kennedy Jr., has faced allegations of misconduct too. A woman who babysat for him and his second wife told Vanity Fair magazine that Kennedy groped her in the late 1990s, when she was 23. Kennedy did not deny the allegation and texted an apology to the woman after the article was published. That isn’t the only hurdle for Kennedy; he’s spent years spreading misinformation and conspiracy theories about vaccines, raising fears about making him a top health official in the new administration. Linda McMahon, chosen by Trump to be education secretary, is fighting a lawsuit connected to her former company, World Wrestling Entertainment. She’s accused of knowingly enabling sexual exploitation of children by an employee as early as the 1980s, and she denies the allegations. Tulsi Gabbard is another person who could face a difficult confirmation battle, but for very different reasons. The former Democratic representative from Hawaii has been a vocal Trump ally, and he chose her to be national intelligence director. But there’s grave concern by lawmakers and national security officials over Gabbard’s history of echoing Russian propaganda. Critics said she would endanger relationships with U.S. allies. Gaetz was investigated by federal law enforcement for sex trafficking, but the case was closed without charges and Republicans have blocked the release of a related report from the House Ethics Committee. However, some allegations leaked out, including that Gaetz paid women for sex. One of the women testified to the committee that she saw Gaetz having sex with a 17-year-old girl, according to a lawyer for the woman. As Gaetz met with senators this week, it became clear that he would face stubborn resistance from lawmakers who were concerned about his behavior and believed he was unqualified to run the Justice Department. “While the momentum was strong, it is clear that my confirmation was unfairly becoming a distraction,” Gaetz wrote on social media when announcing his withdrawal. Sen. Mike Braun, an Indiana Republican, said he believed there were four to six members of the caucus who would have voted against Gaetz, likely dooming his nomination, and “the math got too hard.” He said some of the issues and allegations around Gaetz were “maybe beyond the pale.” “I think there were just too many things, it was like a leaky dike, and you know, it broke,” Braun said. Trump thanked Gaetz in a post on Truth Social, his social media website, without addressing the substance of the allegations against him. “He was doing very well but, at the same time, did not want to be a distraction for the Administration, for which he has much respect,” Trump wrote. ____ Associated Press writers Mary Clare Jalonick, Stephen Groves and Lisa Macaro contributed from Washington. Jill Colvin in New York and Adriana Gomez Licon in Fort Lauderdale, Florida, also contributed.
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