Congressional perspectives: Evolution of PBMs

The top news stories in medicine this week.

Physicians have embraced ambient documentation faster than almost any technology before it. But every note it writes carries your signature, and lawyers, auditors and patients are starting to read those notes closely.

Physician groups in risk contracts often learn what they owe months or years after the fact. Medical Economics spoke with Najib Jai, M.D., MBA, chief operating officer of Arbital Health, about why settlements turn into disputes and how actuarial AI tracks contract performance while the year is still underway.

A Maryland pathologist and MedChi past president explains how all-or-nothing contracts, anti-steering clauses and private equity deals inflate costs. He also outlines the federal and state reforms that could restore competition.

Paying membership fees with pretax employer dollars held cost growth to 0.9% a year, but the numbers come with caveats physicians should know before pitching employers.

Excited for the sunset of MIPS? Brace yourself for a replacement, not a repair. Here are four steps to prepare for it.

If Medicare cuts surgeon pay, it does not follow that Medicare should also cut reimbursement for primary care.

HFMA proposes ‘Declaration on Healthcare Affordability and Sustainability’ as physicians and patients feel the squeeze.