MGMA members described capping Medicare Advantage contracts and favoring commercial patients, while one Texas practice leader reluctantly called Medicare her best payer.
News|Videos|February 24, 2025
Primary Care Scorecard: An introduction to the Milbank Memorial Fund
Author(s)Richard Payerchin
A discussion about primary care with the leader of the Milbank Memorial Fund.
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Milbank Memorial Fund President Christopher F. Koller, MPPM, MA, introduces the organization, which has become a co-publisher of
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Four forces created the perfect storm to sink physician-owned medicine. There are policies that could help keep it afloat.
Median work RVUs rose no more than 2.8% in any group, while nearly 65% of surveyed organizations plan to add physicians in the coming year.
From a same-day payment cut to AI-run prior authorization in traditional Medicare, MGMA's government affairs team laid out what Washington has in store for physicians next year.
At an MGMA Government Affairs town hall, attendees raised extrapolated audits, employer plans beyond state reach and denials with no reason codes.
A fallback version would make insurers prove upcoding, notify physicians and limit downcoding to 90 days.
Acting chief executive Akash Madiah credited practice leaders for outcomes patients never see, and the session's emcee offered a patient's account of two years of doctor visits.
MGMA's government affairs staff walked through the fee schedule, value-based care, prior authorization, Medicaid and the year-end fight in Congress.
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