Reimbursement

Actions this week involve three major health care policy bills

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.

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

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.

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

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

Physicians are loading protected health information into consumer AI tools. Here’s how to avoid risk of HIPAA violations

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

Can independent practices turn Medicare into a strategic advantage? How to go from liability to leverage

The latest HHS-OIG findings spur audits in real time around vascular procedures — and primary care could be involved.

Here’s how to get paid more for managing patient complex conditions over time.

A new survey of physicians, nurses and health care leaders points to burnout, reimbursement uncertainty and the pace of AI adoption as the top threats to the system, even as national data show physician burnout easing.

For value-based care, the future is in building collaboration between primary and specialty care.

Medicare’s G2211 code has a critical design flaw by applying a primary care fix to specialty care

Medicare spends $1.1 trillion a year — or misspends it, depending on this analysis of incentives and outcomes.

Medicare Payment Advisory Commission publishes June report to Congress

Learn more about the goals, procedures and billing of the new 10-year ACCESS payment model.

The new 10-year mix of tech, chronic condition management and primary care launches in July.

One in five privately insured adults denied coverage for doctor-recommended care, survey finds

Payers quietly downcode claims and underpay physicians. Here are eight revenue leaks to catch before they cut your pay.

Independent primary care is wasting away due to a significant payment disparity. Here's how to fix it

Atlas MD co-founder Josh Umbehr, M.D., who has been in direct primary care practice since 2010, explains why he thinks the model is closer to mainstream than most physicians realize.

Health plans are investing heavily in artificial intelligence, but inaccurate provider data create reimbursement friction and avoidable strain on primary care practices

To maximize savings in value-based care, CMS should create payment models for physicians, not middlemen.