Reimbursement

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.

Brad Boyd of BDO USA joins the show to discuss how artificial intelligence can help with prior authorizations.

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

President Lyndon B. Johnson, President Harry S. Truman, and the 1965 signing of the Medicare and Medicaid Act

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

American Medical Association President Bobby Mukkamala, M.D., explains what the AMA is doing for physicians in terms of prior authorizations, private practice, artificial intelligence and scope of practice.

Susan Dentzer, M.S., 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.