Medicare & Medicaid

Here’s how to get paid more for managing patient complex conditions over time.

The top news stories in medicine this week.

Medicare’s G2211 code has a critical design flaw by applying a primary care fix to specialty care

A new JAMA analysis of 1,000 federally funded training positions found psychiatry capturing the largest share of gains, while the proportion reaching primary care and rural communities fell with each round.

Medicare spends $1.1 trillion a year — or misspends it, depending on this analysis of incentives and outcomes.

A primary care physician and policy expert reflects on current health care and service with MedPAC.

Medicare Payment Advisory Commission publishes June report to Congress

A bipartisan bill to fix Medicare's budget-neutrality rules cleared a key House committee. But this year's 2.5% pay bump is already eroding, and it disappears in 2027 without further action.

The top news stories in medicine this week.

The top news stories in medicine today.

Learn more about the goals, procedures and billing of the new 10-year ACCESS payment model.

The top news stories in medicine this week.

The new 10-year mix of tech, chronic condition management and primary care launches in July.

A new JAMA proposal would treat primary care as a public utility, pooling the dollars payers already spend on it into a single state fund that pays practices directly, with no new spending needed to start.

Independent primary care is wasting away due to a significant payment disparity. Here's how to fix it

The top news stories in medicine this week.

To maximize savings in value-based care, CMS should create payment models for physicians, not middlemen.

The top news stories in medicine this week.

Physicians Foundation president discusses CMS request for information about physician-owned hospitals.

Armed with a new ruling, Democrats launch another effort to kill prior auth in WISeR payment model now running in six states.

Insurers and federal officials say prior authorization is moving into the digital age. Physicians are still waiting to see whether the burden actually drops.

Everyday prescriptions such as atorvastatin, lisinopril and metformin are now on the federal price comparison site, though experts say insured patients still may pay less through their plans.

What physicians should know about treatment options for patients with obesity — and why they need to be advocates

Medicare seeks information and signals it may be time to thaw the rules that have frozen growth of physician-owned hospitals.

Executive faces up to 20 years in prison for collecting more than $450M for unneeded durable medical equipment.