Medical Economics spoke with MGMA's Madison Hynes about the association's draft bill to ban automatic downcoding, the Patients First Act and AI-run prior authorization in traditional Medicare.
News|Videos|October 14, 2024
Physicians in politics: Why run for office?
Author(s)Richard Payerchin
Key Takeaways
- Rep. Kim Schrier, MD, became the first pediatrician elected to the U.S. House of Representatives in 2018.
- Her decision to run was motivated by national political efforts related to healthcare.
Physicians in elected office share their thoughts about campaigning, elections and public service.
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In 2018, Rep. Kim Schrier, MD (D-Washington), became the
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Related to this article
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.
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.
MGMA members described capping Medicare Advantage contracts and favoring commercial patients, while one Texas practice leader reluctantly called Medicare her best payer.
At an MGMA Government Affairs town hall, attendees raised extrapolated audits, employer plans beyond state reach and denials with no reason codes.
A fallback version would make insurers prove upcoding, notify physicians and limit downcoding to 90 days.
Acting chief executive Akash Madiah credited practice leaders for outcomes patients never see, and the session's emcee offered a patient's account of two years of doctor visits.
Coding scrutiny, payment gaps and a push for price caps show up across Trilliant Health's annual look at where U.S. health care is headed.
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