Reimbursement

While there are general steps that health care providers can take to ease the transition to value-based care and be prepared for the future, leadership and standards are imperative to making a full transition to value-based care work.

Experts debate keeping or changing greater reimbursement for health care at hospital outpatient departments instead of doctors’ offices.

Regarding Medicare physician reimbursement, Marshall says doctors should ‘ask them why they're cutting your pay.’

CMMI director testifies to explain accountable care, value-based care.

A slideshow with reaction and responses to latest version of the Improving Seniors’ Timely Access to Care Act.

The broken fee-for-service model, in combination with CMS’ efforts to contain costs, promises to cripple our health care delivery system unless providers transition to a value-based care model – and soon.

Physicians Advocacy Institute comments on federal request for information about consolidation in health care.

Researchers say ‘tremendous’ results are possible with dietary changes, but few patients get nutrition information.

Analysts ponder value, transparency and the effects of the Inflation Reduction Act.

AMA panel had proposal on May agenda; physician says a revised proposal likely will be submitted.

In Senate testimony, a primary care expert suggested policy reforms that allow doctors to spend less time on PA and more time with patients.

Small Business Committee sympathetic to independent physician practices.

Budget Committee hearing has testimony from experts, including leader of a primary care practice.

Annual report calls for more efficient care models and for Congress to address looming financial shortfalls

Analysts explain potential for new billing codes that could give physicians more flexibility — and reimbursement — for remote monitoring programs.

Pennsylvania study examines treatment before and after federal law regarding health insurance, Medicaid expansion.

One specialty saw a decline--and it may surprise you

Following testimony in Senate, UnitedHealth Group CEO Witty appears before House oversight subcommittee.

CEO Witty apologizes for effects of the massive cyberattack, but Senate Finance Committee chair says the company ‘let the country down.’

Testimony begins in Senate Finance Committee.

Five-year test starts in 2025 to promote innovative, proactive approaches to care.

Finance Committee to convene hearing the same day as House committee will discuss the same issue.

A hands-on approach may be better for physicians to manage claims.

Economist discusses potential cost savings and fewer administrative burdens if U.S. health care had an automated clearinghouse.

Economist discusses potential cost savings and fewer administrative burdens if U.S. health care had an automated clearinghouse.

House subcommittee members relate constituent experiences, hear suggestions, question consolidation in health care.

AMA poll shows effects on processing claims linger weeks after announcement of major computer hack.

Economist discusses medical equivalent to system already used in banking to transfer money.

Senators hear possibilities about nation’s single largest health care payer.

Culture, data, clinical change and patients all are essential to operating accountable care organizations, experts say.