Reimbursement

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.

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.