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American Medical Association: Less competition in health insurance markets in half of U.S. states
Many patients had fewer choices last year as competition levels dropped in health insurance markets in half of the U.S. states, according to a new report. The report, released by the American Medical Association, found that half of all states had comme…
CMS modifies proposed changes to E/M codes, delays implementation until 2021
While the Centers for Medicare & Medicaid Services moved ahead with parts of its plan to consolidate codes for Medicare patient visits, it made changes in response to the thousands of comments it received from doctors who worried that the plan would cu…
Who’s calling the shots? Doctors worry about insurers overriding their treatment decisions
A new survey of doctors found that health plans are increasingly overriding the treatment decisions they make for their patients.
MGMA18: Physicians frustrated over lack of advanced APMs
There’s a big problem with advanced alternative payment models (APMs): There aren’t enough of them.
MGMA18: The top 5 regulatory burdens faced by physician practices
The federal government has made it a top priority to decrease the regulatory burden on physician practices. But just what are the regulatory issues that medical groups see as most burdensome?
Physician groups say CMS’ change to drug formularies shifts decisions from doctors’ hands to insurers
Physician and patient advocacy groups are not happy with the latest effort by the Trump Administration to lower drug costs, saying it takes decisions out of doctors’ hands and will limit treatments for patients.
More than 150 medical groups oppose CMS proposal to change E/M codes
Saying it could underpay doctors who treat the sickest patients, more than 150 medical groups sent a letter opposing a government plan to consolidate evaluation and management (E/M) codes.
Focus on advanced primary care improves success of ACOs, study finds
What do the most successful accountable care organizations (ACOs) have in common? A focus on advanced primary care, according to a new study.
Doctor gets 18 months in prison for part in $30M fraud scheme
A doctor who falsely posed as the owner of a medical clinic was sentenced Wednesday to 18 months in prison for his participation in a $30 million scheme to defraud Medicare and Medicaid.
Doctors tell lawmakers: Don’t scrap MIPS
While the new Medicare payment system for physicians has flaws that need to be fixed, doctors were unanimous about one thing: They don’t want to see it scrapped.
