Doctors Cut Back on Seeing Medicare Patients as Another Pay Cut Looms Those still seeing Medicare patients struggle to stay in private practice Oct 04, 2024
Healthcare Unionization Isn't the Only Option In this changing workplace, managers and leaders can do better for their staff Sep 25, 2024
Reproductive Rights Central to Wisconsin Ob/Gyn's Run for Congress Medicare physician pay, healthcare-for-all also central to Kristin Lyerly's campaign Sep 16, 2024
Mental Health Parity Rule Lauded by Healthcare Groups Plans will be barred from using more restrictive prior authorization rules for mental health care Sep 12, 2024
Common-Ground Healthcare Policies Both Trump and Harris Can Support Can our future leaders place public health ahead of politics? Sep 12, 2024
CMS Drops Controversial Proposal for Blood Tests After Organ Transplant Test supporters call the move a "win"; agency will issue a new proposal "in the coming months" Aug 22, 2024
Is Medicare's Negotiated Drug Price List Worth Celebrating? Depends on Whom You Ask. Reactions from physician and consumer groups were positive, but drugmakers begged to differ Aug 16, 2024
Prior Authorizations on the Rise in Medicare Advantage, Report Finds Increase corresponds to a climb in Medicare Advantage enrollment Aug 13, 2024
Alternative PBMs Arise to Compete With the 'Big Three' Competitors say their per-member, per-month payment model is fairer to employers and insurers Aug 07, 2024
Extend the Hospital-at-Home Waiver Before It's Too Late Older adults should continue to receive care where they feel and heal their best Aug 07, 2024
PBMs Overpay Their Own Pharmacies to the Detriment of Insurers, Taxpayers, FTC Says But the interim report was criticized by business owners and the PBM trade group Aug 01, 2024
Another Medicare Cut for Physicians? Look to Congress, Not CMS Medicare patients and providers deserve better Jul 31, 2024
Senate Hearing on Noncompete Agreements Gets Contentious Sen. John Kennedy spars with orthopedic surgeon who fought to leave his practice Jul 31, 2024
CMS Allows State to Offer Medicaid Incentive for Hospitals to Erase Patient Debt North Carolina's plan could help 2 million low- and middle-income people get rid of medical debt Jul 30, 2024
Health Should Be a Bigger Focus at the GOP Convention Than It Will Be, Lawmaker Says "I wish it was the centerpiece of everything we're talking about," says Rep. Rich McCormick, MD Jul 16, 2024
Devaluing Our Residents Is Not Without Consequences Let's take better care of our young medical workforce Jul 15, 2024
What Can Be Done About Medical Debt? Senators, witnesses mull solutions ranging from more competition to Medicare for All Jul 11, 2024
CMS Proposes 2.8% Cut to Medicare Physician Fees for 2025 One group calls proposal "critically short-sighted" Jul 11, 2024
CPT Code for Prior Authorization May Still Happen -- Eventually Proposal would cover more than existing codes for limited situations Jul 08, 2024
Why Is Doctor Pay Decreasing and What Can We Do About It? It's time to take back control of our profession Jul 01, 2024
CMS Needs to Do a Better Job With Value-Based Care, Experts Tell House Panel The program has "gotten off track and needs a thorough reevaluation and reformulation," doc says Jun 27, 2024
Eyes Off the Prize: Prior Auth Snags Force Delays in Ocular Treatment While insurers rarely reject requests, they can take weeks to approve anti-VEGF injections Jun 27, 2024
Health Groups Have High Hopes for the Latest Prior Authorization Bill "We believe the bill is poised for adoption this year," said one expert Jun 21, 2024
Medicare Pay, Prior Auth, and More: A Q&A With the AMA's President-Elect Bobby Mukkamala, MD, also says he wants to improve medical record interoperability Jun 20, 2024
Fix What's Broken in Healthcare Is New AMA President's Priority That includes raising Medicare reimbursement and lessening prior authorization, says Bruce Scott Jun 17, 2024
Increase $$ for Physicians, Institute Site-Neutral Payment, MedPAC Report Suggests Inadequate payments could force some docs to stop accepting Medicare patients, commission warns Jun 13, 2024
House Committee Divided on Whether Changes are Needed in 340B Drug Discount Program Program's value undisputed, but some members say hospitals are taking unfair advantage Jun 04, 2024
What if Medicaid Enrollees Were Given Cash Instead of Insurance Benefits? Having them buy insurance or pay for services directly would bring down prices, supporters say May 30, 2024
MGMA: Docs 'Defy Gravity' of Inflation, Staff Shortages by Working Harder Report shows which of 23 specialty groups and primary care practices earned more in 2023 May 29, 2024
More Money, Fewer Prior Auths Needed to Save Private Practices, Lawmakers Told Medicare rates' failure to keep up with inflation is especially damaging, doctors say May 23, 2024
Senate Paper Mulls Options for Fixing Physician Pay in Fee-for-Service Medicare Regular inflation updates, getting rid of MIPS among the ideas discussed May 20, 2024
Revisiting 'Left Without Being Seen' Metrics in the ED The current system drives problematic decisions regarding how care is allocated May 20, 2024
I'm a Former Surgeon General and I Couldn't Believe My $10k Medical Bill Everyone must be able to access necessary care without fear of financial ruin May 17, 2024
Fraudulent Practices Abound in Post-Accident Healthcare These costs often fall unfairly on patients and insurance providers May 09, 2024
Pre-Approval Plan Proposed for Medicare Advantage Insurers "No prior authorization without prior authorization," Senate Budget Committee chair says May 08, 2024
Medicare Hospital Trust Fund to Stay Solvent Until 2036, Trustees' Report Says Projection is 5 years longer than last year's prediction May 07, 2024
Fed Up With Prior Auths? What if Insurers Had to Pay You for Submitting Them? NYC urologist is seeking approval for a prior authorization CPT code May 06, 2024
The Plight of the Late-Boomer Physician Does anyone besides me feel like we got the short end of the financial stick? May 06, 2024