Reimbursement

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

High-deductible health plans can create billing problems, especially early in the year before most patient deductibles have been met. Here are some ideas on how to help your practice cope.

New policy would ensure AMA support for a federal prohibition on the inappropriate denial of payment for care that is necessary and has received prior authorization.

Doctors, ambulatory surgical centers, hospitals all could be affected; plan includes hospital reinvestment for those that need it.

The final CMS rule for the Physician Fee Schedule boosts primary care, but advocacy groups say the reimbursement cuts are untenable.

Rep. Greg Murphy, MD, is sponsoring legislation to improve Medicare pay to doctors.

Senator, representatives send letter asking CMS to increase oversight.

Physicians and sponsors in Congress explain why the bipartisan bill is needed.

Representatives have bipartisan support in House, numerous backers among health organizations.

When primary care practices are being strangled by market forces beyond their control, the fastest way to counter those forces is to quickly generate more revenue.

AMA alleges MultiPlan is working with commercial health insurers to restrict fair payment for out-of-network services.

We do not believe that year-over-year cuts are the path to create a sustainable financial environment for physicians to be successful nor for patients to receive the best care – particularly at a time when more adults age 65 and older are increasingly relying on Medicare coverage alone.

AMGA poll makes clear: ‘This is an inflection point … this is just not sustainable.’

Letter calls for prompt action to avert cut scheduled for 2025, says doctors’ pay should cover cost of actually delivering care to patients.

Four challenges organizations must address to truly improve cost efficiency and quality in health care.

Credit card processing fees can be difficult to decipher, but a little work can save a lot of money

Report found that payers continue to deny claims at an alarming rate

Incentivizing high-quality care reduces costs while improving patient outcomes.

Five specialties examined in review commissioned by American Independent Medical Practice Association.

Commonwealth Fund experts consider value-based care, but it’s likely not a magic bullet to reduce administrative costs or friction.

Two experts discuss The Physicians Foundation and its efforts to affect the factors that affect health outside the doctor's office.

The proposed meager Medicare reimbursement increase for dialysis providers marks the fifth year in a row that the agency has failed to capture actual increases in labor and treatment costs.

Industry analyst outlines care management programs for physicians.

Study examines quality measures per contract and finds there are a lot of them.

Ignoring low-dollar claims and hoping they work out is not the answer. Instead, consider finding a partner that specializes in that collection, because those little claims add up.

DPC improves the physician-patient relationship by reducing administrative tasks, removing insurance company middlemen, and focusing on individualized care.

In theory, patients should benefit from drug price discounts negotiated between drug companies and insurers. In reality, they don’t, and a potential solution is stalled in Congress.

Physicians and their practices must evolve to address the challenges posed by a rapidly changing health care environment.

A specialist in internal medicine and migraines evaluates the practical and financial conditions that are cracking the foundation of health care across the nation.