Reimbursement

An explainer on the specialty gap, financial transparency and administrative friction in independent practices

Accountable care organizations want backup from the feds when they raise red flags about phony claims.

How one state aims to become the first to embrace a universal health care system.

TEAM request for information hints at willingness to relax restrictions on doctors owning hospitals and referring to them.

Elation Health’s inaugural Primary Care Pulse report finds independent primary care physicians are adopting new payment models, embracing AI and holding onto their patient relationships despite mounting financial pressure.

Health care groups back new legislation that could expand Medicare chronic care management.

Medicare extends application deadline to May 15 to expand participation for July start.

Claim denials are a huge problem for physicians and hospitals. The solution is found in rethinking data and workflow

MedPAC opens April meeting with deliberations on data that will be part of June report to Congress.

Insurance expert discusses trends that could affect patients, and thus a practice’s bottom line.

Patients have the best chance of success — and physicians avoid exposure — when doctors and dentists pursue communication, clarity and collaboration

Physicians, lawmakers, policy advisers wrangle over legislation to adjust physician pay and upgrades to Medicare Advantage.

Understanding Medicare's strict physical presence requirements can save your practice from costly compliance violations

MIPS expert Holly Black explains the 2026 rule changes, the rise of MVPs and the practical steps small practices can take now to avoid Medicare penalties.

Stephanie O’Connor joins the show to explain how medical practices can modernize payment systems, reduce fraud and protect revenue without compromising the patient experience.

Could 2026 be a breakthrough year to even out Medicare payment to hospitals and physician practices?

Trump spotlights drug-price transparency and Most Favored Nation pricing —signaling changes to Obamacare subsidies and hospital insurer rules.

A professor of health policy analyzes CMS’ physician payment policy for 2026.

Medicare turns physicians into more productive data clerks, then pays them less. It’s a policy detached from reality.

A professor of health policy analyzes CMS’ physician payment policy for 2026.

A professor of health policy analyzes CMS’ physician payment policy for 2026.

A professor of health policy analyzes CMS’ physician payment policy for 2026.

Christopher Whaley, Ph.D., joins the show to explain how site-neutral payment reform could reshape Medicare reimbursement, hospital consolidation and the future of independent practice.

A professor of health policy analyzes CMS’ physician payment policy for 2026.

Why recent policy shifts signal remote patient monitoring’s permanence in mainstream care