Medicare & Medicaid

A physician expert discusses changes in RPM policy and reimbursement.

Medicare’s planned 2026 overhaul puts primary care physicians at the center of preventing complications, reducing costs and saving limbs.

A physician expert discusses changes in RPM policy and reimbursement.

A physician expert discusses changes in RPM policy and reimbursement.

Commission cites stable access and strengthening finances, urges targeted support for hospitals caring for more low-income Medicare patients.

The critical role of financial transparency and empathy to improve patient satisfaction

Commission staff present chair’s draft recommendation for a 0.5-point boost above current law as survey data show Medicare outperforms commercial coverage on access and wait times.

How to get paid for continuing relationships with patients who have complex, serious conditions.

A slideshow primer based on updated guidance from CMS.

CMS administrator outlines payment changes, Medicaid reforms, fraud efforts and a plan to overhaul prior authorization during his speech at the AMA Interim Meeting of the House of Delegates.

Money for doctors, quick turnaround, policy changes — and even excitement?

Top CMS policymakers outline benefits to primary care for Medicare spending next year.

Anders Gilberg, senior vice president of government affairs at MGMA, joins the show to explain how the temporary funding agreement affects Medicare claims, telehealth and payment stability.

A decade of federal initiatives strengthened care coordination, engagement and clinical quality in primary care, but fee-for-service incentives kept spending high.

GLP-1 drugs Wegovy, Zepbound will have lower prices and be covered by Medicare.

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.

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.