MGMA's government affairs staff walked through the fee schedule, value-based care, prior authorization, Medicaid and the year-end fight in Congress.

CMS chief says outcomes-based pay can help patients while finally ending physicians' box-checking frustration.

MGMA members described capping Medicare Advantage contracts and favoring commercial patients, while one Texas practice leader reluctantly called Medicare her best payer.

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.

The top news stories in medicine this week.

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.