Medicare & Medicaid

House hearing includes witness testimony about patient care, financial costs, and what needs changing.

Federal civil and criminal probes target diagnosis coding in Medicare Advantage plans as insurer launches internal review.

Susan Dentzer, president and CEO of America's Physician Groups, shares the top Medicare policy she'd like to see Congress act on in 2025.

Susan Dentzer, president and CEO of America's Physician Groups, explains why their latest report proposes bundling dental, vision and hearing into accountable care.

Insurer announces goals for 2026 as House of Representatives takes up review of PAs and other elements of Medicare Advantage.

Teams, tech and accountability are part of a new model to improve care for patients with complex or chronic conditions.

Susan Dentzer, president and CEO of America's Physician Groups, breaks down the organization's proposal for fixing prior authorizations and Star Ratings in Medicare Advantage.

New JAMA Health Forum study shows the rate of physicians exiting Medicare has doubled since 2010, with solo practices and primary care physicians leading the way.

Susan Dentzer, president and CEO of America's Physician Groups, explains what top-performing Medicare Advantage groups are doing differently.

Susan Dentzer, president and CEO of America's Physician Groups, explains how to make ACO risk work for small medical practices.

Susan Dentzer, president and CEO of America's Physician Groups, explains the group's proposal for ending MIPS and overhauling MACRA.

Susan Dentzer, president and CEO of America's Physician Groups, explains why every Medicare beneficiary needs an accountable care relationship.

Susan Dentzer, president and CEO of America's Physician Groups, explains the boldest fix proposed in their latest report, "Medicare Done Right."

New study projects thousands of deaths, rural hospital closures, and billions in lost economic output from Medicaid policy changes in the One Big Beautiful Bill Act.

CMS could make changes in 2026 Hospital Outpatient Prospective Payment System.

AAFP, ACP respond with optimism and some critiques in the 2026 Medicare Physician Fee Schedule.

Key regulatory changes that could affect physician pay next year.

RFK Jr., Oz announce 60-day comment period for next year’s plan.

Details will emerge as $1 trillion health care cut becomes largest in nation’s history, policy analysts say.

Here’s a summary about health care regulations and changes coming in the nation’s newest spending plan supported by congressional Republicans.

Susan Dentzer, president and CEO of America's Physician Groups, joins the show to talk Medicare reform and the specific proposals included in APG's latest report.

America’s Physician Groups publish 7 key reasons why the national spending plan is bad for health care.

Bill goes back to House and vote is expected soon as health care organizations predict dire consequences for health care.

From ghost patients and fake genetic tests to DME laundering rings and opioid pill mills, the DOJ’s 2025 health care fraud crackdown paints a sobering picture of a system under attack — and a federal response gaining traction.

New payment model looks to improve patient care by reducing unnecessary treatments.