Policy

The draft 2027 Medicare Physician Fee Schedule opens five questions about the AMA's control of CPT codes, from licensing costs to who decides what a code is worth.

A reimbursement gap of five to 12 times for the same procedure is letting hospitals outbid private practices for their own physicians. Three U.S. Women's Health Alliance advocates explain what it costs patients and what they are asking Congress to do about it.

Physician lawmakers support primary care, inflation-indexed payments and new POINTS system for quality reporting.

CMS wants to cut the conversion factor, rewrite the G2211 add-on into a percentage modifier, halve payment for same-day procedures and put an expiration date on traditional MIPS.

Accountable care wins, but physicians and policy experts warn cuts are baked in

Two physicians and two health system executives got candid with Chief Healthcare Executive about denials, administrative burden and what AI is actually delivering.

As patient demand outpaces staffed beds and workforce growth, early clinical guidance from nurses is emerging as a way to protect physicians, shorten wait times and stabilize access — especially in rural and safety-net communities.

Patient demand is high, but distinctions are fuzzy about compounded GLP-1s. Primary care physicians can help

CMS chief Dr. Oz touts ‘some of the most significant Medicare reforms in recent years’

For better health at a cheaper cost, the nation needs more investment, access and doctors in primary care.

The top news stories in medicine this week.

AMGA, lawmakers lead charge against beneficiary pay for chronic care management.

Insurers are seeking a median 14% increase for 2027, a jump that would leave typical marketplace premiums more than one-third higher in two years.

Answers on adapting to shifts in Medicare, with three strategies to implement right now.

New YouGov data rank what patients consider before agreeing to a treatment.

The direct-to-employer model gets GLP-1s to patients without a pharmacy benefit manager or prior authorization, but the discounted price can disappear when a patient leaves the job.

Two family doctors explain a new NASEM report recommending community-clinical partnerships

Lowering drug costs for older adults is a laudable goal, but don’t do it by blocking physician access to needed medicines.

The top news stories in medicine this week.

For the first time in years, physician pay and productivity have split, and a new Medicare efficiency adjustment is about to make 2026 a hard year to benchmark, schedule and recruit.

Because compiling and feeding masses of data to Medicare takes time away from treating patients.

An Oregon emergency physician group beat back a hospital's attempt to replace it with a national staffing firm, offering independent practices a playbook built on physician unity, advocacy and corporate practice of medicine law.

Practices say technology is essential to staying independent but don't fully trust their current tools, and a Veradigm strategist explains the gap.

Primary care is a team sport, but some of the most important players are outside the physician’s office.

Andel is one of a growing number of companies selling brand-name drugs straight to employers, bypassing pharmacy benefit managers and insurers. Medical Economics sat down with founder and CEO Jay Bregman to understand the model and what physicians should keep in mind.