March 18th 2025
No matter how or when Medicaid cuts manifest, Medicaid plan leaders must act now to preserve member support and provider payment stability.
March 17th 2025
MedPAC proposes a new funding formula, but federal budget does not make up gap for 2.83% cut in 2025 Medicare Physician Fee Schedule.
March 11th 2025
A significant opportunity for cost savings lies within administrative tasks, which often become burdensome and time-consuming.
March 10th 2025
Restoring pay had majority support, but medical associations blast federal budget for ignoring that, jeopardizing patient access.
March 6th 2025
Reimbursement based on Medicare Economic Index, updated cost data, settings all in play.
MedPAC ponders future of physician pay
Report lists concerns about physician reimbursement and policy approaches.
Medicare leaders discuss accountable care growth as part of NAACOS conference
Collaboration across CMS centers and with ACO participants is key.
NAACOS to seek new leader, evolve to deal with market changes
President and CEO Gaus to step down in the fall.
Health care organizations collaborate on best practices for value-based care
NAACOs, AMA, AHIP join for second volume of recommendations for payment arrangements.
Senate Finance Committee to look at Medicare physician reimbursement
MedPAC also scheduled to meet as talk turns to reforms for 2025 and beyond.
CMS publishes 2025 rule for Medicare Advantage and Medicare Part D
Latest regulations include new enrollee protections, according to agency leaders.
Best methods to make employee out-of-pocket expenses affordable
Here’s why physicians, other clinicians and employers are getting behind zero-interest payment plans.
How to easily get patients with high deductibles to always pay
Recent price transparency regulations can create a win-win for physicians and patients.
Maternal mortality; brain implant research; $30M in phony claims for COVID-19 tests – Morning Medical Update
The top news stories in medicine today.
‘Medical injustice disguised as paperwork;’ traveling and measles; are fish safe for consumption? – Morning Medical Update
Harnessing the power of AI to protect health care integrity
Using artificial intelligence to fight fraud, waste, abuse and error could have profound effects on primary care practices.
Bill in Senate would accelerate payments to physicians, hospitals in major health care computer attacks
Change Healthcare hack prompts potential changes for Medicare payments.
A month later, Change Healthcare cyberattack becoming ‘extremely dire’ for affected practices
Company announces medical claims preparation software as Congress urges HHS to continue assistance.
The burnout paradox: How addressing SDOH can reduce provider stress
Solutions involving social determinants of health may seem counterintuitive, but they can be effective.
Congress and health care: Potentially massive Medicare fraud
Rep. Greg Murphy, MD, offers a physician’s perspective on health care and Washington, D.C.
Congress and health care: Prior authorizations
Congress and health care: Medicare Advantage needs a reboot
Senator: Health care needs mandatory ‘cyber hygiene’ standards for computer networks
Advocate for cybersecurity issues statement about Change Healthcare hack.
HHS: Government, insurers must cooperate to recover from Change Healthcare cyberattack
HHS, Labor Department publish open letter to health care leaders.
Congress and health care: Medicare payment reform is needed
Congress and health care: Voting no on the spending bills
Why health care providers and facilities need to transition to value-based care
Opportunities exist at the reimbursement level to drive financial performance.
Medicare physician reimbursement: ‘Stop attacking those who were heroes just a couple years ago’
Rep. Greg Murphy, MD, calls for a complete reboot of the Medicare Advantage program.
Could there be a new CPT code coming for prior authorization work?
American Medical Association’s code panel has it on the agenda this spring.
Spending bills throw 1.68% bone to physicians for Medicare reimbursement
‘Appallingly inadequate’ after 3.4% cut starting this year, MGMA says.
‘Primary care is in crisis’ – follow the money, or lack of it
Three experts talk about financial ramifications for physicians and the primary care workforce across the United States.
On Capitol Hill: A message for primary care
A congressman discusses current health care issues in Washington, D.C.
Change Healthcare hack needs federal help, management groups say
Tech company identifies Blackcat hacking group as attacker disrupting computerized health and financial transactions across the nation.
On Capitol Hill: A congressman asks why health care bills are so high
On Capitol Hill: Repeal and replace ACA? Instead, look to Indiana as a model