Medicare & Medicaid

President-elect Donald Trump takes office on Jan. 20. MGMA says this is what he and Congress should focus on for health care.

Opting out of Medicare might be your only choice

With time still left to enroll, the 2025 marketplace open enrollment period has seen 11.6 million more enrollees compared to 2021.

MGMA: Late 2024 legislation had some help for health care, but House, Senate need to act now.

The budget continuing resolution does nothing to address cuts to Medicare reimbursement, and physicians are going to pay the price

Health care costs money. Here’s how much the nation spent last year.

CMS Office of the Actuary publishes annual price tag; physicians got $978 billion of it.

How to stop accepting Medicare in your practice.

Health care organizations respond to ‘mixed bag’ bill.

AANP offers five critical health care trends for next year.

ACP also calls for action on prior authorizations.

Respondents citing financial hardship as a reason for non-adherence to asthma medications had nearly double the odds of an asthma attack and more than 60% heightened risk of requiring ED care.

MedPAC starts deliberations on 2026 reimbursement recommendation to Congress.

Rep. Greg Murphy, MD, discusses his bill to stop the planned Medicare reimbursement reduction.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

RAND study found hospitals have increased how frequently they say patients need the highest level of care

The Commonwealth Fund compares United States with other developed nations.

The clock is ticking for lawmakers to approve policies that could affect U.S. health care.

CMS published its list of teaching hospitals awarded Medicare-supported GME positions under Section 126 of CAA, 2021.

O’Neill tapped to serve as deputy secretary, Bhattacharya to lead National Institutes of Health.

Proposals would require more public data on prior authorization processes and whether those advance health equity.

Will it take effect? Biden proposal would be finalized in Trump’s term, and his pick to lead HHS has spoken against antiobesity drugs.

News reports state RFK Jr. could take aim at codes recommended by the American Medical Association.

PCC’s 2024 Evidence Report found primary care-centric ACOs generate more than two times higher savings through data integration.

Jury finds that more than 20,000 false claims were filed

CMS Medicaid chief foreshadows potential policy changes coming when President-elect Trump moves into the White House.