SPOTLIGHT -
December 8th 2023
Law could change Medicare Physician Fee Schedule, affecting reimbursement to doctors.
Federal figures show growth across some industries and declines in others.
December 7th 2023
Public-private partnerships will crumble, hurting drug innovation and eventually patients, Republicans say.
December meeting has two days of discussion planned.
December 6th 2023
‘The results are alarming,’ with potential financial effects for patients and pharmacies, researchers say.
Private equity firm acquires ownership stake in physician-run health company
Seoul Medical Group offers primary care and specialty care in seven states.
Mergers and acquisitions: Physicians want a voice in business decisions
Physicians Foundation survey examines doctor reactions and involvement in health care consolidation.
White House announces ‘Big Pharma’ is in for Medicare prescription drug price negotiations
CMS to make offer in February 2024 for prices to take effect in 2026.
Cigna to pay $172M to settle claims of wrongful reimbursement by Medicare Advantage
U.S. Department of Justice, health insurer announce agreement, five-year corporate integrity agreement.
Another bill aims at PBM pricing and management
Senators formally introduce act that has been in discussion since summer.
CMS encourages physicians to apply for new Making Care Primary model
Informational webinar scheduled for this week for physicians, other clinicians and practice managers.
AMA examines how commercial insurers cover digital health care
We're in the era of online healthcare, but who's paying for it? And how much?
More primary care leads to less emergency department use
Patients with greater health risks had more screenings and more savings, without extending full health insurance in New York City.
Senate primary care plan approved by committee
Legislation has bipartisan support, but critic says it’s throwing money at a problem with no guarantee it will help.
House Republicans rip prospect of Medicare drug price negotiations
Democrats say their objections are the bidding of big pharma.
Hospital health care prices don’t match online and by phone
Price transparency has gotten better, but still needs work to make costs clear to patients, a new study finds.
Enhanced primary care: a solution to the nation’s skyrocketing health care costs?
From Congress to employers: shifting the primary care paradigm through efficient payment models to embrace innovative solutions, improve access, and transform health care delivery.
Senators pitch $26 billion plan to strengthen primary care – ‘Absolutely the right thing to do’
Legislation would pay for more physicians, nurses, dentists, to maximize services at community health centers.
Health care in the mix as inflation rises in August
Lawmakers blame opponents’ economic policies for effects on families.
PBMs ‘deserve regulatory scrutiny’ as they increase market share in 2021, AMA says
Pharmacy benefit managers point to study that financial incentives help them bring down drug prices for patients.
Primary care physicians support new Medicare code for ongoing, personalized treatment
CMS agrees, but surgeons and specialists fear a pay cut if family docs get more.
Medical credit cards are the latest way patients fall deeper in health care debt, consumer advocates say
Supporters counter that payment options improve access to care as federal regulators seek more information on possible ‘predatory’ practices.
Practice Academy Summer 2023: Taking Control of Your Financial Future: A Physician’s Playbook for Financial Wellness
How direct-to-employer contracting can benefit primary care physicians in private practice
When done correctly, doctors become the ‘quarterback’ leading a patient care team.
For a sustainable health care workforce, we need to listen more
Measuring engagement is key to meaningful change when workers are straining but loyal, and want to build a culture of excellence.
A promise fulfilled, for now
Primary care gets catch-up in latest AMGA compensation survey.
Better claims management hinges on the right people and processes
Want to improve your service to patients? Be proactive about your practice’s financial management.
U.S. leads the world in list prices for diabetes, antiobesity meds
New drugs may lighten patient weights and wallets.
Representative takes aim at prior authorizations in Medicare, Medicare Advantage
Legislation that would speed up treatment reviews is piling up. Will Congress or CMS act first?
Three pillars to managing low-dollar AR
Use these to develop a strategic approach to profitably manage and effectively resolve low-dollar accounts receivables.
Fees for electronic payments are bleeding physician practices
MGMA publishes position paper on another way insurance companies squeeze dollars out of doctors.
Health insurance prices drop 29.5% from last July, according to feds
Food is up, gas is down, health care has mixed results in latest Consumer Price Index.
Community service, strongarm collections, lax oversight: Senators demand answers about nonprofit hospitals
Lawmakers say they are ‘alarmed’ as hospitals get $28 billion in tax breaks, but millions of Americans struggle with medical debt.
Primary care in a ‘crunch’ due to pressures from revenues and expenses
MGMA report details trends that put a strain on physician-owned practices.
Increasing competition, reducing private equity investment in health care: a slideshow
Researchers offer policy solutions that could slow down acquisitions that lead to price increases for patients.