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]

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Articles

Medicare, Medicaid Innovation Center Charts Strategy Change

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

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 May 13, 2025, 6:15 PM UTC Tony Pugh Senior Reporter New payment models will incorporate MAHA principles No timetable on when new models will be rolled out The Center for Medicare and Medicaid Innovation unveiled a new strategic direction Tuesday, focusing on ways to help empower people to achieve their personal...
Medicare, Medicaid Innovation Center Charts Strategy Change

1 day 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.
RFK Jr. Eyes Medicare Data to Study Root Causes of Autism

1 week ago | news.bloomberglaw.com | Tony Pugh |Ian Haney López

The Trump administration is planning to advance research into the root causes of autism spectrum disorder through a partnership to build a data platform that utilizes medical claims data, electronic medical records, and data from consumer wearable devices. The plan comes as Health and Human Services Secretary Robert F. Kennedy Jr. increases scrutiny of autism, which has raised concerns among patient advocacy groups.
Medicare Physician Pay Cut Fix Seeks Home in Reconciliation Bill

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.
Medicare Physician Pay Cut Fix Seeks Home in Reconciliation Bill

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

Efforts to undo Medicare’s 2025 physician pay cut will once again ride on whether a legislative fix can be attached to an under-construction spending bill—this time, the “big beautiful” Republican reconciliation package. After unsuccessful attempts to include the reimbursement redo in a 2024 year-end spending bill and the continuing resolution in March, the GOP Doctors Caucus and its co-chair, Rep.
Justices Reject Hospitals’ Bid for Higher Medicare Payments (1)

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

The US Supreme Court Tuesday ruled in favor of the US health department in a case that challenged the bounds of eligibility for enhanced hospital reimbursement under the Medicare program. By a 7-2 decision in the case, Advocate Christ Medical Center v. Kennedy, the justices upheld an appeals court ruling that the hospitals, which serve a large share of low-income Medicare beneficiaries, aren’t eligible to receive a higher Medicare disproportionate share payment adjustment, or DSH payment.
Justices Reject Hospitals’ Bid for Higher Medicare Payments (1)

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

The US Supreme Court Tuesday ruled in favor of the US health department in a case that challenged the bounds of eligibility for enhanced hospital reimbursement under the Medicare program. By a 7-2 decision in the case, Advocate Christ Medical Center v. Kennedy, the justices upheld an appeals court ruling that the hospitals, which serve a large share of low-income Medicare beneficiaries, aren’t eligible to receive a higher Medicare disproportionate share payment adjustment, or DSH payment.
Medicare Enrollment Proposals Would Speed Shift to Private Care

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

Medicare’s shift toward privatization could get a significant boost if the Centers for Medicare & Medicaid Services embraces either of two conservative proposals that could increase enrollment in the program’s bulging managed care option.
Medicare Enrollment Proposals Would Speed Shift to Private Care

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

Medicare’s shift toward privatization could get a significant boost if the Centers for Medicare & Medicaid Services embraces either of two conservative proposals that could increase enrollment in the program’s bulging managed care option.
House Committee Seeks Public Input on Organ Procurement Groups (1)

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

The House Ways and Means Committee is seeking public input on whether the nonprofit groups that solicit, retrieve, and transport human organs for transplantation are following federal laws and regulations. The public request for information about the nation’s 55 organ procurement organizations, or OPOs, was issued Wednesday.