Reimbursement

Survey data show that delays, denials and added steps tied to prior authorization are worsening patient outcomes and creating frustration — but AI may help streamline the process.

Trustees project Medicare hospital insurance trust fund will be depleted in 2033, three years earlier than expected.

Annual report puts depletion three years ahead of projected schedule in 2024 report.

AMGA survey finds member organizations anticipate major changes if Congress, President Trump slash Medicaid.

Senate Finance Committee publishes language that prompts new round of analysis, warnings for physicians, rural hospitals.

Reimbursement based on Medicare Economics Index will have a cost but ensure beneficiary access, commission says.

AI and data analytics will cut through administrative clutter and enable payers and providers to collaborate proactively, especially for “rising risk” patient groups

CMS Innovation Center leader outlines strategy for Making America Healthy Again.

A discussion with Duke University's Mark McClellan, M.D., Ph.D., about why value-based care hasn’t been adopted more quickly

Speculation mounts on potential changes and timing for federal spending plan already approved in House of Representatives.

MedPAC is a key adviser to Congress on Medicare pay for physicians.

Factors across U.S. health care pose a ‘dire threat’ to ‘severely destabilized’ independent private practice, threatening patient access.

Balancing the ledger and the mission with up-front payment solutions strengthens access and revenue.

AdvancedMD survey shows financial health is top of mind as practices eye payer renegotiations, service expansion and staffing boosts.

AAFP board chair details potential effects in critique of federal spending plan.

HHS has made changes, but lawmakers want prior auth procedures codified in law.

How do hospice services for end of life align with value-based care? Here’s what primary care physicians should know.

Optimizing revenue cycle management for mental health providers, and how primary care physicians can help bridge the gap.

House Budget Committee takes up debate and AMGA publishes projections due to Medicaid cuts in One Big Beautiful Bill Act.

Health care providers can enhance patient satisfaction by adopting digital payment solutions and transparency, addressing consumer demands for convenience and clarity.

House committee begins deliberations on federal budget reconciliation bill, which includes Medicaid.

Energy & Commerce Chair Rep. Brett Guthrie spells out need for changes to Medicaid.

Three House committee leaders speak out on spending plan up for debate today.

Republican committee chair says Medicaid claims are unfounded, but advocacy groups, Democrats are predicting dire consequences.

Make America Healthy Again, HHS all on the agenda this week in U.S. Senate.

From tightening front-end processes to leveraging the right tech, these practical tips help small practices boost collections and reduce administrative headaches.

National Comprehensive Cancer Network holds policy summit on collaboration in oncology, primary care.

Situation is ‘infuriating and reckless,’ said Rep. Kim Schrier, MD, as she rips Trump administration for defunding research, planning to gut Medicaid.

Former Medicare innovation chief forecasts the future of payment for focusing on the patient.

New National Academy of Medicine report examines Medicare reimbursement, the RUC, and the process of determining values of medical care and services.