Policy

Meanwhile, patients will pay because employers expect health insurance premiums to rise 10% in 2027.

AMA says new guidance from CMS closed gaps documented in health plans' public prior authorization disclosures, but the work isn't finished.

CEO Casey Pittock says CMS's proposed CY2027 Physician Fee Schedule could bar third-party clinical staff from billing for remote monitoring services.

Inovalon surveyed more than 370 revenue cycle leaders in February 2026 about how prior authorization actually runs inside their organizations. The numbers say the process has barely modernized.

Is the U.S. still on top?

AI in medicine is supposed to be a tool used by doctors. What happens when it becomes the doctor?

The top news stories in medicine this week.

Sage Growth Partners CEO Dan D'Orazio explains why fee-for-service incentives, disparate data and misaligned financial models — not a lack of technology — are keeping value-based care from taking hold.

The clinical data to identify mismatched coverage — and fix it before it becomes bad debt — is already sitting in your EHR.

Medicare's proposed 2027 reimbursement rates would fall below the cost of RPM devices, risking declines in physician pay and patient health

A JAMA analysis of nearly 250,000 board-certified internists puts hard numbers on how much underserved patient care rests on physicians born outside the U.S., just as visa policy tightens around them.

A new model of 5,778 physicians sorts every combination of hometown, medical school and residency into four tiers of rural practice.

The order sorts childhood immunizations into three categories, calls for separate visits and points the attorney general at state exemption laws.

Beyond the MMR split, the order presses states to adopt a narrower vaccine list and directs the attorney general to challenge exemption limits.

What happens when the CDC steps back from outbreak surveillance? We’re seeing it in real time, a doctor says

The top news stories in medicine this week.

Physicians head into this back-to-school season with more than one immunization schedule in circulation, rising exemption rates and new counseling codes that payers are covering unevenly.

As the outbreak continues, here’s what physicians need to know about diagnosing cyclosporiasis this summer

The 51-44 vote ends a yearlong vacancy atop one of the nation's top health agencies.

A physician's FAQ guide to Medicare's visit-complexity add-on code

CMS is right to go after wasteful spending, but should use AI technology for accountability, not more prior authorizations

WalletHub ranked all 50 states and the District of Columbia on 44 measures of cost, access and outcomes.

Just 49% of adults can now consistently afford needed care and medications

WalletHub ranked all 50 states and the District of Columbia on 44 measures of cost, access and outcomes.

Structural financial incentives explain why value-based care has stalled — even as new data and payer-provider strategies show where the model is already working.