Nearly 54 percent lower costs for adults with chronic disease. Four experts on why primary care still gets under 5% of health care spending.

Panelists at the Sept. 17 briefing said billing codes for two-way shipping and payment for patient navigators are still missing, with most insurers required to cover self-collected HPV tests starting Jan. 1, 2027.

From a same-day payment cut to AI-run prior authorization in traditional Medicare, MGMA's government affairs team laid out what Washington has in store for physicians next year.

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.

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

The top news stories in medicine this week.