Medicare & Medicaid

Consolidation boosts continuity of care but deepens disparities in follow-up and preventive services, researchers report.

Advocacy groups issue praise, some questions for next year’s physician payment rule.

Organizations react to CMS’ plan for physician payment next year.

CMS announces changes to ‘deliver better outcomes for patients’ while safeguarding funds.

To sustain Medicare Advantage, payers and providers must rebuild collaboration through transparency and standardization.

Strategies for organizations to navigate CMS's decision to fast-track risk adjustment audits.

A new analysis of 11.6 billion Medicare claims from 2013-2023 shows physician participation rose modestly over the past decade, but exits surged — especially among older physicians, women and those in rural and shortage areas.

At the MGMA Leaders Conference 2025, Jason Jobes of Norwood shares a practical blueprint for helping physician practices transition to value-based care.

Jason Jobes of Norwood says successful value-based care transitions depend less on strategy, and more on communication, alignment and expectation setting.

Jason Jobes of Norwood explains why meaningful physician engagement in value-based care starts with simple conversations, not dashboards or data dumps.

Jason Jobes of Norwood explains why meaningful physician engagement in value-based care starts with simple conversations, not dashboards or data dumps.

Jason Jobes of Norwood discusses how smaller physician groups can find success in value-based care — and why partnerships may be the key.

Jason Jobes of Norwood explains how practices can balance revenue maximization with compliance as regulators intensify audits and scrutiny over coding accuracy.

Jason Jobes of Norwood shares why mastering data interpretation is key to driving performance and reimbursement under VBC.

Jason Jobes of Norwood outlines why taking the right amount of financial risk — and investing in infrastructure — is essential for practices transitioning to VBC.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.

David Tawes, M.A., regional inspector general at HHS-OIG, joins the show to discuss Medicare’s $15 billion skin substitute boom, fraud risks and how policymakers aim to curb abuse without limiting patient care.

A revised CMS notice late on Oct. 15 said claims for Physician Fee Schedule and other payment programs will be processed and paid in a timely manner. The exceptions are claims for programs that have expired, such as telehealth flexibilities.

Jason Jobes of Norwood explains why the move toward value-based care is both necessary and challenging — and what physician practices can do to prepare.

Researchers examine trends for EDs, intensive care units over 10-year span.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multibillion-dollar trend in Medicare spending.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.

Ohio State researchers say the billionaire entrepreneur’s Cost Plus Drug Company exposes how insurance premiums and middlemen drive up the true cost of neurologic medications.