February 21st 2025
White House, HHS mull over new leadership for health care fraud enforcement.
February 19th 2025
The new year will be challenging for both independent and employed physicians. But chaotic times can bring enormous opportunity.
February 17th 2025
Physicians have complained that Medicare reimbursement rates have not kept pace with inflation, and now in 2025, are dealing with a 2.83% reimbursement cut. There's little chance of relief in sight. How did we get here?
Public benefit corporation announces developments for 2025.
February 10th 2025
Congress could rectify the situation in upcoming spending bill or with pending legislation.
DOGE turns focus to CMS spending, contracts, news report says
WSJ: Department of Government Efficiency examines payment and contracting systems.
Time has come for CMS to pare down prior authorizations: AMGA
Comments on 2026 rule include suggestions on behavioral health, AI and more.
Bill would restore Medicare physician reimbursement for 2025
Legislation could counter total 6.43% budget cut, but time is ticking away, doctors say.
Health insurance companies hold too much sway over patient care, doctors say
Sermo Barometer poll has results about private equity influence as well.
Trump health care nominees, policies have health care organizations waiting for more
Administration, advocates could find common ground with opportunities to improve health care for physicians and patients.
Trump budget action sparks fears of Medicaid shutdown, major effects on service agencies
White House says assistance going directly to people won’t be affected by temporary pause.
Health care policy priorities for 2025: MGMA publishes its agenda - a slideshow
President-elect Donald Trump takes office on Jan. 20. MGMA says this is what he and Congress should focus on for health care.
MedPAC recommends tying Medicare physician reimbursement to Medicare Economic Index
Choice is up to Congress, but plan presents a raise for 2026, with additional money for primary care.
New AI can autonomously help physicians generate appeal letters for denied claims
Company aims to make claims appeals easier and quicker for physicians by having AI do much of the work
The importance of mounting a robust response to urine PCR testing denials and clawbacks
How proactive legal strategies can protect providers and support access to advanced diagnostic testing.
What you need to know about the Medicare reimbursement cuts for 2025
Opting out of Medicare might be your only choice
New Congress plays ‘dangerous game’ as Medicare cuts to physicians could hurt patient access to care
MGMA: Late 2024 legislation had some help for health care, but House, Senate need to act now.
2025 offers a remarkable opportunity for concierge physicians to thrive
U.S. health care spending in 2023 – a slideshow
Health care costs money. Here’s how much the nation spent last year.
Opting out of Medicare
How to stop accepting Medicare in your practice.
Telehealth, PBM reforms part of House year-end spending plan
Health care organizations respond to ‘mixed bag’ bill.
Majority of Hispanic/Latino adults don’t have adequate health insurance
Commonwealth Fund breaks out data from state of U.S. health insurance survey.
How AI adoption by hospitals and health systems can enable value-based care
By harnessing the power of cutting-edge technologies, artificial intelligence-driven systems are helping make value-based care models more accessible.
On health care availability, hospital fees and site-neutral payment: a slideshow
Data from reports on two new West Health-Gallup polls.
Clock is ticking for 2024 action on Medicare physician reimbursement, PBM reforms
ACP also calls for action on prior authorizations.
Medicare physician pay for 2026 could be based on Medicare Economic Index
MedPAC starts deliberations on 2026 reimbursement recommendation to Congress.
Value-based payment: Health systems don’t support doctors
A physician researcher discusses why primary care physicians do not participate in value-based payment models.
Value-based payment: Not all insurers are on board
Value-based payment: Or is it fee-for-service? Or both?
Value-based payment: Will it cover the cost of doing business?
Value-based payment: Sources and a summary
Value-based payment: An introduction to a study
Medical organizations call for congressional action as calendar approaches end of 2024
The clock is ticking for lawmakers to approve policies that could affect U.S. health care.
New HHS leader could overhaul Medicare physician reimbursement: reports
News reports state RFK Jr. could take aim at codes recommended by the American Medical Association.
Medicaid ‘at an unprecedented crossroads … progress is at risk,’ program leader says
CMS Medicaid chief foreshadows potential policy changes coming when President-elect Trump moves into the White House.