Medicare

From payer contract homework to a 15-minute morning huddle, these are the moves practice administrators can make after four days of sessions and interviews at MGMA's centennial meeting.

Madison Hynes of MGMA explained what practice leaders should watch as electronic prior authorization and Medicaid work requirements arrive Jan. 1.

Medicaid work requirements, new remote monitoring rules and an electronic prior authorization deadline all land Jan. 1, and that's only part of what MGMA told practice leaders to watch.

Hold times, delayed approvals and denials on authorized care dominated member feedback to MGMA's government affairs team.

Traditional MIPS would end after 2028 under a CMS proposal. Practices that want an MVP for 2026 must register by Nov. 30 at 8 p.m. EST.

CMS cut its final Ambulatory Specialty Model list 16 percent from February. See who is in and how much Part B pay is at risk.

A House hearing put the Patients First Act and four related bills in play. Here is how each would change Medicare pay and practice rules.

MGMA is fighting a 2027 Medicare proposal that would halve payment when an office visit and a procedure land on the same day.

MGMA's Anders Gilberg on the 1.68% conversion factor cut, budget neutrality winners and losers, and why MVPs worry him.

Daniel Tashnek, J.D., breaks down five assumptions that hold remote care programs back, from patient eligibility to staffing and EHR capabilities.

MGMA's government affairs team on what’s already changed in 2026 and what’s still to come.

As House lawmakers take up MACRA, MGMA backs three bills to tie payments to inflation, raise budget neutrality and replace MIPS scoring.

Reps. Miller-Meeks, M.D., and Conaway Jr., M.D., introduce legislation to reform the Medicare Physician Payment System.

Bipartisan legislation targeting Medicare Advantage prior authorization has rare supermajority support.

From missed submission windows to overlooked bonuses, here is what MIPS participants need to review now to protect their Medicare payments.

Medicare could run out of money by 2033 and physicians could end up paying the price.

95% of practices say regulatory burden has grown over the past three years, according to MGMA's 2026 Regulatory Burden Report.

Anders Gilberg, senior vice president of government affairs at MGMA, joins the show to explain how shifting federal policy decisions are affecting physician practices and what medical groups should be watching in 2026.

Anders Gilberg, senior vice president of government affairs at MGMA, joins the show to explain how the temporary funding agreement affects Medicare claims, telehealth and payment stability.

Prosecutors tackle fraud in health care, highlighting the importance of compliance programs and anti-retaliation measures to protect whistleblowers.

The 2026 Physician Fee Schedule enhances remote care with new billing codes and permanent virtual supervision.

Reimbursement inches up, but new efficiency rules and telehealth changes may leave independent practices feeling squeezed.

David Tawes, M.A., regional inspector general at HHS-OIG, joins the show to discuss Medicare’s $15 billion skin substitute boom, fraud risks and how policymakers aim to curb abuse without limiting patient care.

A recent court ruling affirms CMS's authority in Medicare Advantage ratings, highlighting compliance challenges for providers and the importance of interpreter availability.

Anders Gilberg, SVP of government affairs at MGMA, joins the show with health policy updates from Washington.