Reimbursement

MedPAC starts deliberations on 2026 reimbursement recommendation to Congress.

Researchers asked doctors why they continue with fee-for-service payment. There are many reasons, as a study co-author explains.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

The clock is ticking for lawmakers to approve policies that could affect U.S. health care.

News reports state RFK Jr. could take aim at codes recommended by the American Medical Association.

CMS Medicaid chief foreshadows potential policy changes coming when President-elect Trump moves into the White House.

High-deductible health plans can create billing problems, especially early in the year before most patient deductibles have been met. Here are some ideas on how to help your practice cope.

New policy would ensure AMA support for a federal prohibition on the inappropriate denial of payment for care that is necessary and has received prior authorization.

Doctors, ambulatory surgical centers, hospitals all could be affected; plan includes hospital reinvestment for those that need it.

The final CMS rule for the Physician Fee Schedule boosts primary care, but advocacy groups say the reimbursement cuts are untenable.

Rep. Greg Murphy, MD, is sponsoring legislation to improve Medicare pay to doctors.

Senator, representatives send letter asking CMS to increase oversight.

Physicians and sponsors in Congress explain why the bipartisan bill is needed.

Representatives have bipartisan support in House, numerous backers among health organizations.

When primary care practices are being strangled by market forces beyond their control, the fastest way to counter those forces is to quickly generate more revenue.

AMA alleges MultiPlan is working with commercial health insurers to restrict fair payment for out-of-network services.

We do not believe that year-over-year cuts are the path to create a sustainable financial environment for physicians to be successful nor for patients to receive the best care – particularly at a time when more adults age 65 and older are increasingly relying on Medicare coverage alone.

AMGA poll makes clear: ‘This is an inflection point … this is just not sustainable.’

Letter calls for prompt action to avert cut scheduled for 2025, says doctors’ pay should cover cost of actually delivering care to patients.

Four challenges organizations must address to truly improve cost efficiency and quality in health care.