The American Medical Association is advocating for physician reimbursements to be tied to the Medicare Economic Index, a measure developed in 1975 to track annual changes in physicians’ operating costs, according to a recent report from the organization. Here are 10 things to know: 1. When the Medicare Fee Schedule was introduced in 1992, the […]
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The former owner and operator of Pain Medicine of York (Pa.) was sentenced to 42 months in federal prison and ordered to pay nearly $3 million in restitution for his role in a scheme involving medically unnecessary urine drug tests for opioid patients, according to an April 24 news release from the Justice Department. What […]
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In the wake of the Change Healthcare cyberattack, the American Medical Association is calling on Optum to adopt a more flexible approach to loan repayment for affected physicians. Here are five things to know: 1. On April 11, AMA CEO and Executive Vice President James Madara, MD, formally addressed Optum Insight CEO Roger Connor in […]
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Physicians’ average bonus was $50,000 per year and 63% reported receiving incentive bonuses, according to Medscape’s Physician Compensation Report 2025. Medscape surveyed 7,322 physicians in 29 specialties from Oct. 3, 2024 to Jan. 15, 2025. The breakdown of factors affecting incentive bonuses include:
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A North Ridgeville, Ohio-based physician has pleaded guilty to his role in a $14.5 million Medicare scheme, according to an April 11 news release from the Justice Department. What happened? What’s next?
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CMS recently proposed a series of payment updates across multiple care settings for fiscal year 2026. ASCs are impacted directly, but the changes could affect care delivery dynamics. Here are 10 things to know: 1. CMS proposed a 2.4% payment increase for inpatient hospitals, translating to a $4 billion funding surge. The proposed 2.4% pay […]
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On April 10, CMS Administrator Mehmet Oz, MD, announced his vision for the agency, which includes a commitment to President Trump’s “Make America Healthy Again” agenda and modernizing Medicare, Medicaid and the ACA marketplace. Here’s five things for ASCs and physicians to know about the plans: 1. CMS will first implement President Trump’s recent executive […]
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Becker’s has reported on nine physicians who are facing fraud cases in the last month:
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Miramar, Fla.-based Vohra Wound Physicians Management and its founder Ameet Vohra, MD, are facing a federal complaint alleging a Medicare fraud scheme involving overbilling and unnecessary wound care services provided to nursing home patients, according to an April 4 news release from the Justice Department. What happened? What happens next?
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On April 5, the Senate passed an amended fiscal 2025 budget revolution that maintained proposed cuts to Medicaid, including the introduction of work requirements. Here are 10 things to know about the work requirements and what they mean for physicians: 1. The work requirements proposal, introduced by Sens. John Kennedy, R-La., and Eric Schmitt, R-Mo., […]
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