MGMA members described capping Medicare Advantage contracts and favoring commercial patients, while one Texas practice leader reluctantly called Medicare her best payer.
News|Videos|December 10, 2024
Value-based payment: An introduction to a study
Author(s)Richard Payerchin
Key Takeaways
- Value-based payment models focus on improving patient outcomes by changing primary care payment structures.
- The 2024 study investigates why primary care practitioners are reluctant to adopt value-based payment models.
A physician researcher discusses why primary care physicians do not participate in value-based payment models.
Advertisement
The goal of value-based
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.
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.
MGMA's government affairs staff walked through the fee schedule, value-based care, prior authorization, Medicaid and the year-end fight in Congress.
The top news stories in medicine this week.
Four forces created the perfect storm to sink physician-owned medicine. There are policies that could help keep it afloat.
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.
Advertisement
Advertisement
Trending on Medical Economics
1
Should we be worried when Dr. Jones hires the AI version of himself?
2
New ICD-10 codes take effect; counselor convicted in $26M TRICARE scheme; Pennsylvania, CDC measles death counts diverge — Morning Medical Update
3
What AI vendor contracts and AI scribe consent mean for physicians' legal risk
4
3 strategies for responding to patients who use AI chatbots for medical advice
5