SPOTLIGHT -
July 26th 2024
Open meeting to be held online Aug. 1; independent pharmacies, PBM trade group offer responses to federal reviews.
July 25th 2024
‘Chevron deference’ in legal interpretation falls in ruling expected to have far-reaching consequences across health care, other areas of governance.
July 23rd 2024
Three largest pharmacy benefit manager executives testify in House Oversight Committee.
July 22nd 2024
ACO advocates outline steps for CMS to communicate and change rules regarding patient engagement.
July 19th 2024
Feds’ request for information now lasting into September.
Health care trade organizations react to Senate legislation
Finance Committee approved wide-ranging legislation this week.
Wide-ranging health care bill would affect physicians
Senate Finance Committee approves draft for consideration by full chamber.
Why do medical practices sell to equity funds?
As hospitals and investors look to buy physician offices, there are strategies for doctors to maximize the purchase price.
Senators could change cut in Medicare Physician Fee Schedule
MGMA suggests solutions as committee begins deliberations on health care bill.
Health care employment rises in October, but so does overall jobless rate
Physicians’ offices and hospitals both are part of gains for the month.
ACA health insurance enrollment period opens
Analysts offer reasons for price changes and potential record numbers of people signing up.
Feds propose rule changes for No Surprises Act
Texas Medical Association claims victory in court challenges of provisions unfair to physicians.
National reforms needed to avoid ‘many small, independent practices in a state of financial ruin’
AAFP President outlines solutions to help physicians offer better care for patients, improving the health of the nation.
How pre-tax health funds remove barriers to accessing primary care
You help your patients maintain their physical health. There are tools to help them manage their financial health.
Health care market competition in sights of Justice Department
Antitrust chief details issues of concern for government regulators.
Health insurance does not guarantee medical care affordability
Survey finds patients who have coverage still must deal with high costs, debt burdens.
Congress must protect physicians from Medicare cuts: MGMA
Association offers analysis of pending legislation that could help health care practices better serve patients.
FQHCs must get creative with building and sustaining remote patient monitoring programs
Technology has proven beneficial for treating chronic conditions and generating data. But changes in reimbursement could be coming in 2024.
Kaiser Permanente, striking workers announce tentative deal
Walkout earlier this month was the largest for health care workers in U.S. history.
First-time approval the goal for prior authorizations and claims
There is movement to streamline the administrative processes that are burdensome to physicians, their staff, and patient care.
Inflation up from August to September, but health care prices change little
Health insurance drops again in yearly figures of consumer price index.
Physician group slams insurers for overcharging taxpayers for Medicare Advantage
Report: ‘Endless greed’ costs nation billions of dollars and health of patients.
Administration, drug prices at the center of Americans’ excess health care spending
Physician wages are part of the equation too, according to new report by The Commonwealth Fund.
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.