American Medical Association

AMA, NAACOS, AHIP share how to succeed in value-based care arrangements

April 15, 2024 - The American Medical Association (AMA), the National Association of Accountable Care Organizations (NAACOS), and AHIP have released a playbook on value-based care best practices, highlighting the importance of patient attribution, financial benchmarks, risk adjustment, and more. The organizations previously released data-sharing best practices and...

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Provider Groups Say Final Rule Will Relieve Prior Authorization Burdens

by Victoria Bailey

Provider groups are commending CMS for finalizing patient data-sharing policies and prior authorization requirements. The CMS Interoperability and Prior Authorization Final Rule requires Medicare...

Provider Groups Oppose Proposed Payment Cuts in Physician Fee Schedule

by Victoria Bailey

Provider organizations have made it clear they are not happy with the payment cuts CMS proposed in the 2024 Medicare Physician Fee Schedule (PFS). Additionally, groups have voiced concerns about...

AMA 2024 CPT Code Set Addresses Language Barriers, Immunization Codes

by Victoria Bailey

The American Medical Association (AMA) has released the 2024 Current Procedural Terminology (CPT) code set, which addresses language barriers by including Spanish descriptors of medical services. Each...

AMA Opposes Non-Compete Agreements for Hospital-Employed Physicians

by Victoria Bailey

The American Medical Association’s (AMA) House of Delegates has voted to oppose non-compete agreements for physicians employed by hospitals or staffing companies. Non-compete agreements prohibit...

AMA: US Healthcare System Headed for Success After 2022 Hurdles

by Victoria Bailey

Medicare payment cuts and physician burnout continue to hurt the country’s healthcare system, but federal and state policies implemented in the past year have created a promising path forward,...

AMA: 31% of Physicians Have Faced Medical Liability Claims

by Victoria Bailey

Nearly a third of US physicians reported being previously sued during their career, suggesting the need for medical liability reforms, an analysis from the American Medical Association (AMA)...

Provider Groups Band Together to End Cigna’s Modifier 25 Policy

by Jacqueline LaPointe

The American Medical Association (AMA) and more than 100 other provider trade associations have taken issue with a new policy from The Cigna Group regarding claims with modifier 25. Cigna recently...

More Medical Liability Premiums Increased in 2022, AMA Finds

by Victoria Bailey

More than 35 percent of medical liability premiums increased in 2022, marking the highest rate in almost two decades, an analysis from the American Medical Association (AMA) found. The analysis...

What Prior Authorization Changes in MA Final Rule Mean for Providers

by Victoria Bailey

CMS has released its 2024 Medicare Advantage (MA) and Part D Final Rule, which finalized policies on marketing oversight, prescription drugs, and prior authorization processes. Changes to prior authorization policies are particularly...

Practices Complete More Prior Authorizations, See More Care Delays

by Jacqueline LaPointe

Practices are completing more prior authorizations compared to last year and seeing more care delays as a result, according to new data from the American Medical Association (AMA). The AMA recently...

AMA Urges CMS to Finalize Medicare Advantage Prior Authorization Reforms

by Victoria Bailey

The American Medical Association (AMA) and 118 other medical organizations have urged CMS to finalize its proposed prior authorization reforms for the Medicare Advantage program. In a letter to CMS...

Providers Leaving No Stone Unturned to Stop Medicare Payment Cuts

by Jacqueline LaPointe

Healthcare industry groups representing over 1 million physicians and other clinicians have joined together to urge Congress to prevent a 4.5 percent Medicare payment cut starting Jan. 1,...

AHA, AMA Urge Congress to Prevent Medicare PAYGO Sequester

by Victoria Bailey

Seven national healthcare organizations, including the American Hospital Association (AHA) and the American Medical Association (AMA), have asked Congress to prevent the Statutory Pay-As-You-Go (PAYGO)...

NAACOS, AMA Ask Congress to Extend Advanced APM Incentive Payments

by Victoria Bailey

More than 800 accountable care organizations (ACOs) and healthcare associations, including the National Association of ACOs (NAACOs) and American Medical Association (AMA), have asked Congress to...

AMA, Other Medical Groups Go After Cigna Over Underpayments

by Jacqueline LaPointe

Prominent medical societies, including the American Medical Association (AMA), are suing private payer Cigna over chronic underpayments to physicians participating in one of their networks. The class...

AMA Releases 2023 CPT Code Set, Aims to Reduce E/M Coding Burden

by Jacqueline LaPointe

The American Medical Association (AMA) has released the Current Procedural Terminology (CPT) code set for 2023, which contains updates that aim to reduce medical coding burden for evaluation and...

Healthcare Orgs Request Medicare Shared Savings Program Updates in PFS

by Victoria Bailey

Healthcare groups, including the American Medical Association (AMA), have asked CMS to consider additional updates to the Medicare Shared Savings Program (MSSP) before finalizing the Medicare Physician...

8 New CPT Codes Added for Bivalent COVID-19 Booster Doses

by Jacqueline LaPointe

The American Medical Association (AMA) has announced an editorial update to its Current Procedural Terminology (CPT) code set to include eight new codes for the bivalent COVID-19 vaccine doses from...

AMA Announces CPT Code Update for Monkeypox Vaccines, Testing

by Victoria Bailey

The American Medical Association (AMA) has updated the Current Procedural Terminology (CPT) code set to include a laboratory test CPT code for the orthopoxvirus and two CPT codes for the monkeypox...

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