Reimbursement

MedPAC is a key adviser to Congress on Medicare pay for physicians.

Factors across U.S. health care pose a ‘dire threat’ to ‘severely destabilized’ independent private practice, threatening patient access.

Balancing the ledger and the mission with up-front payment solutions strengthens access and revenue.

AdvancedMD survey shows financial health is top of mind as practices eye payer renegotiations, service expansion and staffing boosts.

AAFP board chair details potential effects in critique of federal spending plan.

HHS has made changes, but lawmakers want prior auth procedures codified in law.

How do hospice services for end of life align with value-based care? Here’s what primary care physicians should know.

Optimizing revenue cycle management for mental health providers, and how primary care physicians can help bridge the gap.

House Budget Committee takes up debate and AMGA publishes projections due to Medicaid cuts in One Big Beautiful Bill Act.

Health care providers can enhance patient satisfaction by adopting digital payment solutions and transparency, addressing consumer demands for convenience and clarity.

House committee begins deliberations on federal budget reconciliation bill, which includes Medicaid.

Energy & Commerce Chair Rep. Brett Guthrie spells out need for changes to Medicaid.

Three House committee leaders speak out on spending plan up for debate today.

Republican committee chair says Medicaid claims are unfounded, but advocacy groups, Democrats are predicting dire consequences.

Make America Healthy Again, HHS all on the agenda this week in U.S. Senate.

From tightening front-end processes to leveraging the right tech, these practical tips help small practices boost collections and reduce administrative headaches.

National Comprehensive Cancer Network holds policy summit on collaboration in oncology, primary care.

Situation is ‘infuriating and reckless,’ said Rep. Kim Schrier, MD, as she rips Trump administration for defunding research, planning to gut Medicaid.

Former Medicare innovation chief forecasts the future of payment for focusing on the patient.

New National Academy of Medicine report examines Medicare reimbursement, the RUC, and the process of determining values of medical care and services.

Relative Value Scale Update Committee responds to analysis from National Academies of Sciences, Engineering and Medicine.

NAACOS urges Trump Administration to ensure ACOs and value-based care are part of health policy going forward.

With burnout, worker shortages and razor-thin margins, primary care doctors are in trouble in the United States, and Medicare is not helping.

Physician-owned Wilmington Health identifies high-risk patients to deliver care at right time.

Physicians say they still feeling effects of massive computer breach at insurance giant.

Medicare Economic Index would better reflect doctor expenses while ensuring patient access, AMA says.

Formal vote comes ahead of June report to Congress on pay in Medicare Physician Fee Schedule.

While some providers feel supported by their employers, a significant portion believe more could be done to help them navigate prior authorization challenges.

No matter how or when Medicaid cuts manifest, Medicaid plan leaders must act now to preserve member support and provider payment stability.

MedPAC proposes a new funding formula, but federal budget does not make up gap for 2.83% cut in 2025 Medicare Physician Fee Schedule.