SPOTLIGHT -
April 25th 2024
A hands-on approach may be better for physicians to manage claims.
UnitedHealth updates situation on ransomware hack that has disrupted medical and pharmacy processes across the nation.
April 19th 2024
Economist discusses potential cost savings and fewer administrative burdens if U.S. health care had an automated clearinghouse.
April 17th 2024
April 16th 2024
House subcommittee members relate constituent experiences, hear suggestions, question consolidation in health care.
‘Tremendous financial strain’ – Physicians struggling after Change Healthcare cyberattack
AMA poll shows effects on processing claims linger weeks after announcement of major computer hack.
National health care information clearinghouse would streamline prior authorizations while cutting administrative costs
Economist discusses medical equivalent to system already used in banking to transfer money.
Doctors suggest ways to improve Medicare for physician payments, patient care
Senators hear possibilities about nation’s single largest health care payer.
ACO leaders share methods for building successful programs
Culture, data, clinical change and patients all are essential to operating accountable care organizations, experts say.
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.
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.
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.