News|Videos|July 1, 2024
PAI: Site-neutral payment for hospitals and physicians
Author(s)Richard Payerchin
Physicians Advocacy Institute CEO discusses consolidation in health care.
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Hospital outpatient departments receive more Medicare reimbursement when they provide the same services as physician practices. That contributes to
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CMS' proposed cuts to physician fees focus on the operating room. For the primary care physicians managing recovery after surgery, the real gap is much larger.
Health care was the only one of five sectors to cut spending commitments this spring, falling 2.8% as hospitals faced rising supply costs and physicians awaited the final 2027 Medicare fee schedule, Coupa's Business Spend Index found.
Urban Institute analysis finds 26% of insured adults owe medical debt, with hospitals the largest source
A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
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.
Trilliant Health's annual trends report traces primary care shortages, payment gaps and looming price caps to incentives no single stakeholder has reason to fix.
Nolla Health claims it has the nation’s first approval for artificial intelligence to issue initial prescriptions. Physician review comes later.
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