Anders Gilberg News Today

Regular inflation updates, getting rid of MIPS among the ideas discussed

In a letter to the Office for Civil Rights, the Medical Group Management Association asked HHS to ensure its provider members will be held blameless and that UnitedHealth and Change Healthcare will take on the administrative work of alerting customers.

Doctors are worried that the attack on Change Healthcare, part of UnitedHeathcares Optum division, will mean they cant get paid properly for months.

Advocates for overhauling the Medicare payment system will lose three of their biggest Capitol Hill supporters to retirement next year, raising questions about next steps.

A long-awaited federal rule on prior authorization was hailed by physicians' groups for streamlining burdensome procedures and forcing insurers to be more transparent about their decisions.

Hospitals and insurers are adopting AI tools to process bills. Big bucks are at stake.

CMS finalized updates to its physician fee schedule for 2024, as well as finalized the rule for next year’s Outpatient Prospective Payment System (OPPS). Provider groups are displeased with the updated rules, arguing that both physicians and provider organizations need more monetary relief than what the agency is offering.

CMS finalized a 3.4 percent cut to physician Medicare payments for next year, the second consecutive year of declining reimbursement rates.

The Medical Group Management Association offers an analysis of pending legislation that could help health care practices better serve patients.

'I don't think 'site-neutral' is neutral,' one commissioner says