SPOTLIGHT -
March 26th 2024
Using artificial intelligence to fight fraud, waste, abuse and error could have profound effects on primary care practices.
The top news stories in medicine today.
March 25th 2024
Change Healthcare hack prompts potential changes for Medicare payments.
March 21st 2024
Company announces medical claims preparation software as Congress urges HHS to continue assistance.
March 15th 2024
Why physicians need to understand and insure the gap between earning potential and net worth.
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.
Primary care physician numbers down as other clinicians increase from 2016 to 2021
Medicare data offer a snapshot of health care workforce in recent years.
It’s time to change the prior authorization process used by the health care industry
Patients and physicians would benefit by replacing layers of administration with meaningful connections for care.
Reps introduce ‘Gold Card’ legislation to speed up prior authorizations
Patients need ‘timely and high-quality care,’ not ‘bureaucratic red tape,’ lawmakers say.
Private equity, government regulations in health care ripped in House Ways and Means Committee hearing
Physicians in Congress speak on federal legislation that aims for medical care price transparency for consumers.