EBRI data show employer plans pay hospital outpatient departments about twice what physician offices receive for the same physician-administered drugs, and the commercial market has barely begun to address the gap.
News|Videos|March 13, 2024
Congress and health care: Prior authorizations
Author(s)Richard Payerchin
Rep. Greg Murphy, MD, offers a physician’s perspective on health care and Washington, D.C.
Advertisement
Reforming and regulating the prior authorization process has bipartisan support. Rep. Greg Murphy, MD (R-North Carolina) shares his thought on why Congress has not taken definitive action on the bill known as the “Improving Seniors’ Timely Access to Care Act.”
Advertisement
Related to this article
From a same-day payment cut to AI-run prior authorization in traditional Medicare, MGMA's government affairs team laid out what Washington has in store for physicians next year.
MGMA members described capping Medicare Advantage contracts and favoring commercial patients, while one Texas practice leader reluctantly called Medicare her best payer.
Start with a spreadsheet, add curiosity and communication, and make a real difference to practice income.
Medical Economics spoke with health care attorney Tatiana Melnik, J.D., about vendor contracts, patient consent and the malpractice questions physicians could face next.
How long before every doctor has an artificial intelligence stunt double?
Why physicians owe tax on their share of practice profit rather than the cash they take out, and how entity type, footnotes and late K-1s can change the final bill.
The American Medical Association and five specialty societies say casting AI as smarter than physicians diminishes their expertise, a day after the health secretary praised AI second opinions.
Advertisement
Advertisement
Trending on Medical Economics
1
Should we be worried when Dr. Jones hires the AI version of himself?
2
Six physician groups push back on claims that AI is better informed than doctors
3
What AI vendor contracts and AI scribe consent mean for physicians' legal risk
4
New ICD-10 codes take effect; counselor convicted in $26M TRICARE scheme; Pennsylvania, CDC measles death counts diverge — Morning Medical Update
5