UnitedHealthcare in the Hot Seat Over GI Procedure 'Advance Notification' Policy New rule came in response to concerns over proposed prior authorization policy Jun 01, 2023
Warning: Prior Auth for Colonoscopy Is the Wrong Way to Go The policy adds delays to care and may worsen health outcomes May 24, 2023
How Can Primary Care Be Improved in the U.S.? Making care more convenient, funneling more money to research will help, experts suggest May 19, 2023
Return of Rule Nixing Delivery of Rx Drugs to Medicare Patients Drawing Docs' Ire "It is endangering the lives of the oldest and sickest Americans," oncology group says May 18, 2023
Choosing Pediatrics Is a Poor Financial Decision We can change this by addressing the pay gap between child and adult medicine May 16, 2023
Dear Medical Schools, Educate Students on the Business of Medicine Without it, you are doing your students a disservice May 13, 2023
Want to Make Your ACO a High Performer? Here Are the Keys Doc engagement and in-house care coordinators are among the critical factors, research finds May 05, 2023
'Ghost' Provider Networks a Big Problem for Patients, Especially in Mental Health Only 18% of docs called by Senate's "secret shoppers" were really in-network and taking patients May 03, 2023
Worried About the Possible Envision Bankruptcy? You Should Be. Regulators need to better protect patients, hospitals, and providers May 03, 2023
Are Physician-Owned Hospitals Good for Healthcare? Report commissioned by two hospital groups suggests otherwise Apr 25, 2023
Docs' Liking for Knee Injection Tied to Industry Payments Threefold rate for giving hyaluronic acid shots among those paid more than $100 Mar 20, 2023
Ankle Docs See Falling Medicare Payments Inflation-adjusted reimbursements for fusion, joint replacement slip Mar 09, 2023
More Investment in Primary Care Needed, Report Finds Workforce is shrinking as fewer adults report having a regular source of care Feb 22, 2023
Medicare Advantage Plans Fielded 35 Million Prior Auth Requests in 2021 Two million requests denied; reasons for denial remain elusive, according to a new report Feb 03, 2023
Medicare Must Pay Docs More, Say MedPAC Commissioners Two proposals discussed at the commission's December meeting would increase physician pay Dec 09, 2022
Shouldn't Doctors Be Paid for Responding to Health Portal Messages? Cleveland Clinic's billing plan has sparked much-needed conversation about physician compensation Dec 05, 2022
Looming Physician Pay Cut 'Unprecedented' and 'Unconscionable,' AMA President Says Number of doctors who take Medicare patients could dwindle without Congressional action Dec 02, 2022
AMA Edges Closer to Supporting Public Option Members will also oppose employer mandates requiring docs to sign contracts waiving due process Nov 16, 2022
Where Will All the Sick Children Go? A surge in viral infections among kids is straining hospital capacity across the country Nov 01, 2022
What Drug Laws Are in the Inflation Reduction Act? The Answer Might Surprise You It's not just about negotiating drug prices in Medicare Oct 04, 2022
Health Insurance Claims for Sex Services Leads to Conspiracy Charges Fraud scheme traded fake chiropractic claims for kickbacks, sex Sep 23, 2022
Docs Likely to See Pay Raise From Private Insurers in 2023, Expert Says Payment negotiations "really are favoring the providers right now" Aug 25, 2022
PBM Specialty Pharmacy Requirement Hurting Patients, Specialists Say Hassles with prior authorization, delivery make it harder to dispense needed medications Aug 23, 2022
Rising Costs, Inflation Squeeze Physician Margins Two reports paint troubling financial picture, especially for physician-owned practices Aug 02, 2022
The Claims Data Dilemma: 4 Things to Consider Providers' need for global claims data remains an ongoing struggle Jul 23, 2022
Welcome, New Interns, to the Wonderful World of Patient Care Let's work on building a better system for our patients Jun 13, 2022
Medicare Drug Price Negotiation in the Spotlight at AMA Annual Meeting Amendment on international pricing draws controversy Jun 13, 2022
Should Docs Get Paid for Time Spent on Prior Authorizations? AMA delegates were split on this question at a reference committee hearing Jun 12, 2022
Gun Violence Is a Scourge That Must Be Dealt With, Says Outgoing AMA President It "cannot be our new normal," Gerald Harmon, MD, says at the House of Delegates meeting Jun 11, 2022
To Bill or Not to Bill, That is the Question When should we charge patients for phone calls, or even for complex responses to emails? Jun 06, 2022
200 Rural Hospitals At Risk of Closing in the Next Few Years, Study Finds Inadequate payments from private insurers a large part of the reason, study author says Apr 22, 2022
Everybody Loves CHIP, So Why Isn't It Permanently Funded? It has more to do with political will and finding the right way to achieve it, analyst says Apr 15, 2022
Health System on the Hook for $22M Over Unnecessary Spine Surgeries Record-breaking healthcare fraud settlement in eastern Washington Apr 15, 2022
Healthcare Consolidation Expected to Continue, Expert Says Small-scale players will merge with others, especially in the second half of 2022, she predicts Apr 14, 2022
No Medicare Payment Hike Needed for Docs in 2023, MedPAC Says Beneficiaries seem to have adequate access to care, and few physicians are dropping out Mar 15, 2022
A Third of Docs Saw a Patient Harmed by Prior Authorization Treatment delays have led to permanent damage, disability, and even death Feb 11, 2022
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
