Medicare & Medicaid

The clinical data to identify mismatched coverage — and fix it before it becomes bad debt — is already sitting in your EHR.

Medicare's proposed 2027 reimbursement rates would fall below the cost of RPM devices, risking declines in physician pay and patient health

A JAMA analysis of nearly 250,000 board-certified internists puts hard numbers on how much underserved patient care rests on physicians born outside the U.S., just as visa policy tightens around them.

Physicians have questions about capitation. Here's what it means for your practice.

With small cuts, targeted gains and revision of the G2211 code, here’s what CMS' proposed 2027 PFS means for your bottom line

A physician's FAQ guide to Medicare's visit-complexity add-on code

CMS is right to go after wasteful spending, but should use AI technology for accountability, not more prior authorizations

Advanced practice providers have moved from stopgap to permanent staff, and physicians are absorbing the change in patient acuity, productivity benchmarks and rural coverage.

Medicare is requesting information, including physician commentary, on primary care and MAHA.

The top news stories in medicine this week.

Physicians drive savings, but AI could reward the intermediaries controlling ACOs.

Clinics and physician practices accounted for almost 30% of health care Chapter 11 filings in the first half of 2026, the one subsector climbing while the rest trended flat or down, according to a new Gibbins Advisors report.

2027 Medicare Physician Fee Schedule at heart of Primary Care Collaborative discussion

The OIG's own data suggest a narrower fix than the one CMS proposed

Medicare rates, prior authorization, telehealth and Medicaid coverage all change between Sept. 14, 2026, and Jan. 1, 2028.

The top news stories in medicine this week.

Health care economist Wayne Winegarden, Ph.D., argues that two decades of inflation-eroded Medicare payment, not corporate ownership or management services organizations, is what is pushing independent practices to sell.

Health care fraud, new payment models and AI are all in play in evolution of accountable care

RFK Jr. says California and Minnesota have to prove the legitimacy of claims before the money flows.

A new KFF Health Tracking Poll finds most voters believe Medicare and Medicaid fraud comes from the billing side of care, doctors’ offices and hospital systems, rather than from the patients who receive it.

Access, AI and accountable care are part of now and the future, CMS leaders say.

Health policy veteran and "Zen Lobbyist" author Gary Jacobs argues that the payment system, not the insurers, is behind a second straight year of double-digit ACA premium increases, and that primary care-led risk is the only durable fix.

The top news stories in medicine this week.

Actions this week involve three major health care policy bills

Greater availability of the blockbuster drugs does not mean every older patient should get them.