SPOTLIGHT -
May 2nd 2024
Following testimony in Senate, UnitedHealth Group CEO Witty appears before House oversight subcommittee.
May 1st 2024
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.
April 30th 2024
Five-year test starts in 2025 to promote innovative, proactive approaches to care.
April 29th 2024
Finance Committee to convene hearing the same day as House committee will discuss the same issue.
Getting your claims denied? Here are reasons why and what you can do about it
A hands-on approach may be better for physicians to manage claims.
Hackers disclose personal information stolen in Change Healthcare cyberattack
UnitedHealth updates situation on ransomware hack that has disrupted medical and pharmacy processes across the nation.
The case for having insurance companies pay physicians for prior authorizations
Economist discusses potential cost savings and fewer administrative burdens if U.S. health care had an automated clearinghouse.
What health care could learn about information sharing from banks and retail stores
After Change Healthcare massive cyberattack, lawmakers consider what comes next in cybersecurity
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.