AMA Delegates Spar Over Medicaid Coverage for Undocumented Pregnant Women "We have to stop looking at this as an 'us versus them'" situation, says delegate Nov 15, 2021
AMA Delegates Spar Over Medicare Drug Price Negotiation Some worry this could lead to price controls for physician services Nov 14, 2021
Should Medicare Pay the Same Amount Regardless of Where a Service Is Provided? MedPAC members like the idea -- with a few caveats Nov 10, 2021
'Build Back Better' Isn't the Only Infrastructure Bill With Healthcare Provisions Smaller bill includes measures on single-dose drugs, Medicare rebate rule Nov 09, 2021
TAVR Chugging Along at 5 Years in SURTAVI Trial Plus, data suggest that it is probably cost-effective in low-risk patients Nov 06, 2021
Final Physician Fee Schedule Rule Includes a Nearly 4% Payment Cut Will leave practices in "financial peril," says AMA president Nov 03, 2021
Biden Announces Deal With Congress on Infrastructure Bill Medicare hearing benefits make the cut, but dental, vision, drug-pricing provisions are left out Oct 28, 2021
Virginia Docs Get Just $15 for Certain Medicaid ED Visits Budget item determines 800 diagnoses, including asthma attacks, are "avoidable" emergency visits Oct 14, 2021
Q&A: Sterling Ransone, Jr., President of the American Academy of Family Physicians Better pay and fewer paperwork hassles for members are high priorities for AAFP's new president Oct 14, 2021
More Physicians Are Now Employees Rather Than Owners Here's what's behind the continued decline of independent practice Oct 14, 2021
Medicaid Will Be a Bigger Target for Alternative Payment Models, CMS Official Says Health equity also will be a focus, says CMMI official Ellen Lukens Oct 13, 2021
Doc Admits to Using Misbranded Eye Medication on Patients James Heroman, MD, also falsely billed Medicare to make a profit, DOJ alleged Oct 07, 2021
Medicare Is Sticking With Mandatory Demonstration Models for Now But "we need to move away from having a model for every episode," says CMMI head Elizabeth Fowler Oct 06, 2021
Are Doctors Drowning in Inbox Overload? The slow simmer of non-stop messaging boils over during the pandemic Sep 22, 2021
Doc Groups Hail Decision to Delay 'Advanced EOB' Rule Regulation set to start on January 1, but administration says it will "defer enforcement" Aug 31, 2021
Medicare's Radiation Oncology Payment Model Vexes Oncology Community Participation required for certain radiation oncology practices starting next January Aug 10, 2021
Prime Healthcare Settles Kickback Claims The California health system will pay over $30 million Jul 21, 2021
As Overdoses Rise, Opioid Treatment Providers Struggle to Get Paid Providers of medication assisted treatment say they're bleeding cash, and unable to keep staff Jun 22, 2021
Medical Residents Need Better Working Conditions, AMA Delegates Say More access needed to healthy food, child care Jun 14, 2021
Want Healthcare for All? Ditch Fee-for-Service, Says Former CMS Chief "We should move to global budgets as soon as possible," says Donald Berwick Jun 11, 2021
New Rules for Some Medicare ACOs Are No Good, Say Healthcare Groups Letter seeks a 3-year delay for reporting new quality measures May 12, 2021
After the Pandemic: How Will Medical Practices Fare? Telehealth's role will depend on reimbursement, says MGMA's Anders Gilberg Apr 30, 2021
On the Road to High-Value Healthcare in the U.S.: Are We There Yet? CMS needs to keep the value-based payment models that work, and ditch the others Apr 27, 2021
Doc Groups Object to New Prior Authorization Rules in Medicare Requirements for two spinal procedures set to take effect July 1 Apr 20, 2021
Anesthesiology Group Squeezed 'Like a Boa Constrictor' Sues Insurer U.S. Anesthesia Partners alleges UnitedHealthcare is blocking competition Apr 06, 2021
Stripped of Hospital Privileges, St. Louis Cardiologists Go to Court Suit against SSM Health seeks $50 million if former status not restored Apr 02, 2021
Cardiologist Coughs Up $2M for Unnecessary Procedures Dinesh Shah, MD, allegedly billed for tests that were unnecessary or never done Mar 23, 2021
Multi-City Study Bolsters Case for Mobile Stroke Units But reimbursement woes, balkanized EMS agencies block path to broader use Mar 17, 2021
Vascular Surgeon Admits Doing Unnecessary Procedures Feng Qin, MD, will pay $800,000 and be excluded from Medicare for 4 years Mar 11, 2021
Healthcare Disruptors: Doubling Down on Primary Care Iora Health and its care teams are changing the way primary care is delivered Mar 10, 2021
Abandoned Cardiac Device Leads More MRI-Friendly Than Previously Thought Safety of scans supported by observational study Feb 17, 2021
Detroit Cardiologists Awarded Millions for Retaliation Claim Judge dismisses Tenet's bid to vacate arbitrator's ruling Feb 05, 2021
Medicare's 'Most Favored Nation' Drug-Pricing Rule in Limbo Rule affecting Part B drugs was to take effect Jan. 1 but was stopped by federal court orders Jan 07, 2021
Vascular Surgeon Pleads Guilty in Blood Vessel Scam Physician performed unnecessary procedures and faked thousands of insurance claims, feds say Dec 22, 2020
2021 Medicare Fee Schedule Includes 10.2% Cut in Conversion Factor Cognitive specialties will see increases while radiologists, pathologists get pay cuts Dec 02, 2020
Doc Gets 5 Years for Fraud; Vaccine-Hesitant Docs & Nurses; Lysol Under the Lid This past week in healthcare investigations Nov 25, 2020
Some Docs Will Pay Separately to Use CPT Codes Next Year AMA licensing fee won't be included in Practice Fusion EMR in 2021 Nov 10, 2020
NY Emergency Docs Sue Insurer for Not Paying Enough Out-of-network physicians charge UnitedHealth conspired to reimburse them at lower rates Nov 09, 2020
Sunshine Act Brings Some Transparency but Little Change Industry largesse to physicians unaffected; strong link between payments and choice of ICDs Nov 03, 2020
