Tony Pugh

Washington, D.C.

Reporter, Bloomberg Law at Bloomberg Industry Group

Tony Pugh is a senior reporter covering Medicare and providers for Bloomberg Law in Washington, DC. [email protected]

Featured in: Favicon

bloombergindustry.com Favicon

msn.com

bloomberg.com Favicon

latimes.com Favicon

chicagotribune.com Favicon

thestar.com Favicon

seattletimes.com Favicon

startribune.com Favicon

baltimoresun.com Favicon

miamiherald.com + 96 more

Articles

‘Big Beautiful Bill’ Threatens Medicare, Medicaid Enrollees

5 days ago | news.bloomberglaw.com | Tony Pugh

Prescription drug subsidies for poor at risk in House GOP billResearch suggests thousands would die without assistance Nearly 1.4 million medically fragile, low-income dual Medicare and Medicaid enrollees could find it harder to retain a valuable prescription drug subsidy if the Republican House reconciliation bill becomes law. And the consequences could be life-threatening.
‘Big Beautiful Bill’ Threatens Medicare, Medicaid Enrollees

5 days ago | news.bgov.com | Tony Pugh

Nearly 1.4 million medically fragile, low-income dual Medicare and Medicaid enrollees could find it harder to retain a valuable prescription drug subsidy if the Republican House reconciliation bill becomes law. And the consequences could be life-threatening. Medicare’s Low Income Subsidy, or LIS program, covers Part D premiums, reduces copayments, eliminates deductibles, and saves limited-income beneficiaries about $6,200 a year in prescription drug costs.
Oz to Probe Hospitals’ Child Sex-Trait Modification Activities

1 week ago | news.bloombergtax.com | Tony Pugh

The Trump administration is asking hospitals that perform sex-trait modification procedures on children to provide information on how they’re implementing new federal requirements related to the interventions.
Oz to Probe Hospitals’ Child Sex-Trait Modification Activities

1 week ago | news.bloomberglaw.com | Tony Pugh

May 28, 2025, 10:07 PM UTC Tony Pugh Senior Reporter The Centers for Medicare & Medicaid Services office, part of the U.S. Department of Health and Human Services, is headquartered in Woodlawn, Md. Photographer: Jay Mallin/Bloomberg Letter outlines concerns with gender dysphoria procedures Hospitals have 30 days to provide requested information The Trump administration is asking hospitals that perform sex-trait modification procedures on children to provide information on how they’re...
Trump Agencies Seek Ideas to Improve Drug Price Transparency

2 weeks ago | news.bloomberglaw.com | Tony Pugh

Joint request for information follows Trump executive orderNew HHS guidance aims to boost hospital price transparencyThe Trump administration is seeking public input for potential rulemaking on how to improve prescription drug price transparency for consumers.
Nursing Homes to Pay $15 Million Over False Staffing Records

2 weeks ago | news.bloombergtax.com | Tony Pugh

XYour Choices Regarding Cookies and IdentifiersWe and our 150 third party partners use cookies and similar technologies ("Cookies") and hashed identifiers (e.g., a hashed version of your name, email address or phone number) to help us identify you on our site and third-party sites and to process certain information, such as your IP address and digital identifiers, to analyze site usage and provide you with relevant advertisements and content.
Nursing Homes to Pay $15 Million Over False Staffing Records

2 weeks ago | news.bloomberglaw.com | Tony Pugh

Pittsburgh-area homes lied about meeting staffing levelsFive facility officials were acquitted of fraud chargesA federal judge in Pennsylvania ordered two companies operating Pittsburgh-area nursing homes to pay more than $15 million in restitution this week following their December 2023 convictions for obstructing and impeding a federal investigation and making false statements related to the payment of health-care benefits.
DOJ Suit Against Medicare Plans, Brokers Leaves Consumers Unsure

2 weeks ago | news.bloomberglaw.com | Tony Pugh

Deep DiveMay 20, 2025, 9:05 AM UTC Tony Pugh Senior Reporter U.S. one-hundred dollar, ten-dollar, five-dollar and one-dollar banknotes are arranged for a photograph in Hong Kong, China, on Thursday, April 23, 2020.
DOJ Suit Against Medicare Plans, Brokers Leaves Consumers Unsure

2 weeks ago | news.bloombergtax.com | Tony Pugh

Allegations that Medicare managed care plans paid hundreds of millions of dollars in illegal kickbacks to insurance brokers that help enroll people into coverage have renewed concerns about whether the intermediaries act in the best interests of beneficiaries and new enrollees as required by federal law. A recent Justice Department lawsuit claims that from 2016 to 2021, leading Medicare Advantage insurers CVS Health Corp., Elevance Health Inc., and Humana Inc.
BCBS Florida Loses Medicare Advantage ‘Star Rating’ Lawsuit

2 weeks ago | news.bloomberglaw.com | Tony Pugh

Judge finds Medicare rule isn’t arbitrary and capriciousFlorida Blue stands to lose $68 million in bonus paymentsA federal judge in the nation’s capital ruled the US Department of Health and Human Services acted lawfully by not utilizing a 2019 rule to adjust a Medicare managed care plan’s 2025 “star rating” after historic flooding in a South Florida county. In a memorandum opinion, Judge Amit P.