SPOTLIGHT -
May 9th 2024
Small Business Committee sympathetic to independent physician practices.
May 8th 2024
Budget Committee hearing has testimony from experts, including leader of a primary care practice.
May 7th 2024
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.
May 6th 2024
Pennsylvania study examines treatment before and after federal law regarding health insurance, Medicaid expansion.
HHS: Government, insurers must cooperate to recover from Change Healthcare cyberattack
HHS, Labor Department publish open letter to health care leaders.
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.
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.
Senators line up to support restoring physician reimbursement cut in Medicare
Letter to leadership outlines bleak financial picture for doctors, possible decrease in care for patients.
Prior authorizations: Containing costs or obstructing health care?
Experts discuss process of physicians getting insurers to pay for treatments for patients.
Consumers want and need price transparency in health care, lawmaker says
Election year politics could spur legislative action for medical care.
On Capitol Hill: Rep. Larry Bucshon, MD, on reforming prior authorizations, part 1
A congressman discusses current health care issues in Washington, D.C.
On Capitol Hill: Two ways to reform Medicare physician reimbursement
On prior authorizations and Medicare Advantage reforms: a lawmaker’s perspective
Rep. Larry Bucshon, MD, discusses two issues at the top of the agenda in American health care.
On Capitol Hill: Medicare reimbursement – ‘literally a rounding error' – part 2
On Capitol Hill: Rep. Larry Bucshon, MD, talks Medicare reimbursement, part 1
Medicare physician reimbursement: ‘I think it’s appalling that Congress hasn’t fixed this’
But it’s not too late to restore 2024 payments to doctors through the Medicare Physician Fee Schedule, said Rep. Larry Bucshon, MD.
Physicians call on lawmakers to turn back the cut to Medicare reimbursement
Report: One legislator says it could happen in federal spending bill next month.
AI, with potential benefits and risks, lands among top priorities in health care
MGMA publishes its 2024 Advocacy Agenda with position paper on artificial intelligence included for the first time.
Most Americans have no idea about prices before they receive health care
Amid ‘runaway growth,’ Gallup poll finds strong support for health care price transparency.
Costs of medical care a concern at national and kitchen table levels
House lawmakers resume banging the drum for health care price transparency.
CenterWell Senior Primary Care announces expansion plan
Parent company Humana reports loss for fourth quarter of 2023.
How the 2024 elections could impact health insurance coverage
If you think this year is a big deal because of the presidential election, check out what’s projected for Medicare in 2028.
No Surprises Act sparks millions of disputed claims, health insurers say
How growing out-of-pocket contributions are disrupting primary care
Medical costs are hurting patients and primary care doctors. New payment models may be the solution.
NAACOS recommendations for value-based care in rural communities – a slideshow
Unique challenges of rural and underserved areas require special payment consideration by CMS.
CMS leaders tout prior authorization rule among 2023 accomplishments, 2024 agenda
New regulations aim to make prior auths faster and clearer for physicians and patients.
Price transparency will cause market disruption for physicians, patients and insurers
The medical payments space will undergo significant change. Here’s what it could mean for health care providers.
Congress has limited time to act in 2024 in health care priorities
Commonwealth Fund outlines key policy issues to watch this year.
New CMS rules ‘a major win’ on prior authorizations, but more action is needed
Congress must make faster prior authorizations a national priority in health care, advocates say.
Health care organizations praise CMS new rules on prior authorizations, interoperability
Faster prior auths are a priority for physicians and patients, so the new rules will help family doctors.