Reimbursement

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.

A significant opportunity for cost savings lies within administrative tasks, which often become burdensome and time-consuming.

A roundup of priorities, current trends, concerns and improvements in primary care around the United States.

Restoring pay had majority support, but medical associations blast federal budget for ignoring that, jeopardizing patient access.

Reimbursement based on Medicare Economic Index, updated cost data, settings all in play.

Physicians, pharmacists and artificial intelligence can join to form a cost-effective solution that improves patient outcomes and financial sustainability.

Physicians drumming up support to counter 2.83% cut that started in January.

Author discusses new study that breaks down health care spending and medical conditions over a decade, and what that could mean for the future.

AMA survey shows growing physician concerns over automated insurance denials.

Author describes origin of new study that breaks down health care spending and medical conditions over a decade.

A discussion about primary care with the president of the Milbank Memorial Fund.

A discussion about primary care with the president of the Milbank Memorial Fund.

NIHCM hosts online forum with prescriptions to help a sector of health care that is in crisis.

A discussion about primary care with the president of the Milbank Memorial Fund.

Annals of Family Medicine study shows negative impact of PBR on primary care physicians.

A discussion about primary care with the president of the Milbank Memorial Fund.

A discussion about primary care with the president of the Milbank Memorial Fund.

A discussion about primary care with the president of the Milbank Memorial Fund.

A discussion about primary care with the leader of the Milbank Memorial Fund.

Author describes origin of new cost breakdown on health care spending over a decade.

White House, HHS mull over new leadership for health care fraud enforcement.

The new year will be challenging for both independent and employed physicians. But chaotic times can bring enormous opportunity.

Physicians have complained that Medicare reimbursement rates have not kept pace with inflation, and now in 2025, are dealing with a 2.83% reimbursement cut. There's little chance of relief in sight. How did we get here?

Public benefit corporation announces developments for 2025.

Congress could rectify the situation in upcoming spending bill or with pending legislation.

WSJ: Department of Government Efficiency examines payment and contracting systems.

Comments on 2026 rule include suggestions on behavioral health, AI and more.