Reimbursement

Clean claims that drive quick payments require foundational workflows, configuring systems properly from the start, and regularly revisiting how you measure success.

Health insurance companies pledge prior authorization reform, yet providers face ongoing delays and distrust, highlighting the gap between promises and reality.

More developments and data around the finances and patient outcomes of traditional Medicare and Medicare Advantage.

New platform aims to speed approvals, cut denials and ease physician workload.

Analyst J.D. Power releases 2025 Medicare Advantage report.

Medallion says $43 million will go for development to streamline process.

A researcher also discusses how a team used AI to comb through years’ worth of physician and hospital data.

When Medicare reimbursement skyrockets for a treatment, expect increased oversight from lawmakers and administrators.

Our 96th annual Physician Report goes beyond compensation to examine how financial strain, payer complexity and legal risk are shaping the future of medical practice.

Physician practices face rising denial rates, impacting revenue and efficiency. Advanced denial tracking and outsourcing can enhance management and recovery strategies.

A Madaket Health report finds nearly half of insured Americans are putting off care — Millennials are most likely to go digital or pay out-of-pocket.

Physician pay is up 3.7% — but that might be where the good news ends. From widening gender gaps to reimbursement-driven burnout, here are the key compensation trends shaking up the profession.

Although physician compensation rose 3.7%, concerns over reimbursement, pediatric pay and workforce pressures signal a strained industry.

The One Big Beautiful Bill Act, now the law of the land, will bring change to U.S. health care.

Beyond ‘gotcha!’: Building a modern era of humane utilization management

The two presidents were friends who agreed on the need for ‘a healthier, stronger country.’

Susan Dentzer, president and CEO of America's Physician Groups, sat down with Medical Economics to discuss APG's latest report on Medicare reform, "Medicare Done Right."

How to shift compliance from an administrative burden to a competitive advantage.

Susan Dentzer, president and CEO of America's Physician Groups, shares the top Medicare policy she'd like to see Congress act on in 2025.

Insurer announces goals for 2026 as House of Representatives takes up review of PAs and other elements of Medicare Advantage.

Here are key provisions that physicians need to know about the proposed rule.

CMS could make changes in 2026 Hospital Outpatient Prospective Payment System.

AAFP, ACP respond with optimism and some critiques in the 2026 Medicare Physician Fee Schedule.

Key regulatory changes that could affect physician pay next year.

RFK Jr., Oz announce 60-day comment period for next year’s plan.

The number of primary care physicians employed by health insurance payers grew from 2016 to 2023, researchers say.

Details will emerge as $1 trillion health care cut becomes largest in nation’s history, policy analysts say.

How small practices can turn claim denials into faster payments, smarter workflows and long-term financial stability.

Here’s a summary about health care regulations and changes coming in the nation’s newest spending plan supported by congressional Republicans.

America’s Physician Groups publish 7 key reasons why the national spending plan is bad for health care.