Payment Model Reform

'Remove fee for service': Gary Jacobs on premiums, physician risk and primary care-led reform

'Remove fee for service': Gary Jacobs on premiums, physician risk and primary care-led reform  Medical Economics

'Remove fee for service': Gary Jacobs on premiums, physician risk and primary care-led reform

Opinion: Good riddance to bundled ‘global’ maternal care billing

New maternal billing codes should create a transparent system where both patients and clinicians can thrive, ACOG writes.

Opinion: New billing codes likely to raise maternity care costs

“This change is likely to lead to only modest increases in total medical expenses. However, it coincides with many other factors raising health insurance premiums,” writes Jeff Levin-Scherz.

CMS releases 2027 physician fee schedule proposed rule: Key takeaways for sleep medicine

Medicaid programs mull dropping insurers

Various state Medicaid programs are considering replacing outside managed care plans with in-house management. Such a reversal of the multi-decade trend to outsourcing overall management of Medicaid p...

AMA Releases New Codes for Emerging Technology

SCCT highlights payment gains, policy challenges as coronary CT use surges

<p>An increase of nearly 200% in the use of CCTA over the past year has driven policy changes.</p>

CMS Proposes Significant Changes to RPM and RTM Services

STAT+: The next step of site-neutral, and a fiery PBM hearing

Medicare proposes to reduce payments to hospitals for certain drugs and imaging services.