Reimbursement

Opting out of Medicare might be your only choice

MGMA: Late 2024 legislation had some help for health care, but House, Senate need to act now.

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

Health care costs money. Here’s how much the nation spent last year.

How to stop accepting Medicare in your practice.

Health care organizations respond to ‘mixed bag’ bill.

Commonwealth Fund breaks out data from state of U.S. health insurance survey.

By harnessing the power of cutting-edge technologies, artificial intelligence-driven systems are helping make value-based care models more accessible.

Data from reports on two new West Health-Gallup polls.

ACP also calls for action on prior authorizations.

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.

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.