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.

Four forces created the perfect storm to sink physician-owned medicine. There are policies that could help keep it afloat.

Current quality programs measure organizations and claims after the fact, but the next generation of measurement focuses on the everyday clinical decisions that drive unnecessary spending.

Kidney care advocates praise new appointees; advocacy group notes the task force creates financial effects on patients.

A primary-care voucher model would pay practices upfront for predictable care and leave insurance to cover catastrophic risk, cutting administrative burden and giving physicians time back with patients.