July 10th 2025
The number of primary care physicians employed by health insurance payers grew from 2016 to 2023, researchers say.
July 9th 2025
Details will emerge as $1 trillion health care cut becomes largest in nation’s history, policy analysts say.
July 8th 2025
How small practices can turn claim denials into faster payments, smarter workflows and long-term financial stability.
July 1st 2025
New payment model looks to improve patient care by reducing unnecessary treatments.
June 30th 2025
A discussion with Plante Moran’s Tammy Schaeffer about why value-based care hasn’t been adopted more quickly
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.
Why more physicians don’t participate in value-based payment models
Researchers asked doctors why they continue with fee-for-service payment. There are many reasons, as a study co-author explains.
Value-based payment models: Potential solutions, part 2
A physician researcher discusses why primary care physicians do not participate in value-based payment models.
Value-based payment models: Potential solutions, part 1
Value-based payment models: Too much documentation
Value-based payment models: Problematic performance measures
Value-based payment models: Workforce shortages are a problem
Value-based payment: Health systems don’t support doctors
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.
5 tips for practices dealing with high-deductible health plans
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.
AMA calls for regulatory and injunctive actions for unpaid preauthorized care
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.
Senators pitch site-neutral payment policy framework
Doctors, ambulatory surgical centers, hospitals all could be affected; plan includes hospital reinvestment for those that need it.
Physicians face a 2.83% reimbursement cut unless Congress takes action
The final CMS rule for the Physician Fee Schedule boosts primary care, but advocacy groups say the reimbursement cuts are untenable.
‘It is just a real gut punch’ – Physician in Congress discusses proposed reduction in Medicare Physician Fee Schedule
Rep. Greg Murphy, MD, is sponsoring legislation to improve Medicare pay to doctors.
Medicare Advantage problems are getting worse, not better, lawmakers say
Senator, representatives send letter asking CMS to increase oversight.
What they’re saying about the Medicare Patient Access and Practice Stabilization Act
Physicians and sponsors in Congress explain why the bipartisan bill is needed.
Legislation would block Medicare cut, increase 2025 physician reimbursement
Representatives have bipartisan support in House, numerous backers among health organizations.
The primary care practice crisis: It’s time to play offense
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 sues MultiPlan, alleging price-fixing scheme
AMA alleges MultiPlan is working with commercial health insurers to restrict fair payment for out-of-network services.