Physician Reimbursement

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$460B spending bill averts shutdown, some physician pay cuts

by Jacqueline LaPointe

Congress narrowly avoided a partial government shutdown, sending a $460 billion spending bill to the President’s desk over the weekend. The bipartisan deal, passed by the House 339-85 last...

Most Surgeons Earned MIPS Bonus Payments in 2021, Study Finds

by Victoria Bailey

Most surgical healthcare professionals participating in the Merit-based Incentive Payment System (MIPS) earned bonus payments in 2021, with urologists seeing the highest adjustment, a study published...

CMS Finalizes 1.25% Cut To Medicare Physician Fee Schedule

by Jacqueline LaPointe

CMS has released the Medicare Physician Fee Schedule (PFS) final rule for calendar year (CY) 2024, finalizing a 1.25 percent overall reduction for physician services next year. The federal agency...

Healthcare Services Cost More at Hospital Outpatient Departments

by Victoria Bailey

Costs for common medical procedures were up to 58 percent higher when they were performed in a hospital outpatient department compared to a doctor’s office, an analysis from the Blue Cross Blue...

MGMA: EFT Fees Imposed by Health Plans Are Hurting Providers

by Victoria Bailey

Electronic funds transfer (EFT) fees imposed by health plans and third-party vendors are increasing costs and administrative burdens for healthcare practices, according to a position paper from the...

AHA: Site-Neutral Payment Policies Hurt Hospitals

by Jacqueline LaPointe

As healthcare prices are put under the microscope, the American Hospital Association (AHA) is criticizing a cost-cutting method to reduce prices for outpatient services. The hospital group’s...

Primary Care Compensation Growth Surpassed Other Specialties in 2022

by Victoria Bailey

Primary care compensation and productivity grew at faster rates than other specialties in 2022, a survey from the American Medical Group Association (AMGA) found. AMGA’s 36th annual Medical...

Physician Compensation Rises 17% Since 2018 as Shortages Persist

by Jacqueline LaPointe

Physician compensation is on the rise as healthcare organizations confront persistent clinician shortages and record levels of burnout. The “Medscape Physician Compensation Report 2023”...

Lawmakers Want to Tie Physician Payment Updates to Inflation

by Jacqueline LaPointe

Several lawmakers are seeking to tie physician payment updates in Medicare to inflation to prevent potential physician shortage issues. Representatives Raul Ruiz, MD (D-CA-25), Larry Bucshon, MD...

Physician Compensation Fell, Gender Pay Gap Persisted in 2022

by Victoria Bailey

Economic challenges for healthcare workers continued in 2022, as the average physician compensation fell by 2.4 percent and the gender pay gap persisted, according to a report from Doximity. The...

MedPAC Recognizes Impact of Inflation on Docs, Suggests Higher Rates

by Jacqueline LaPointe

The Medicare Payment Advisory Committee (MedPAC) recommended increasing physician payment rates based on an inflation-based index for Medicare. The independent advisory group suggested in its March...

AMGA Opposes Proposed Medicare Advantage Coding Changes

by Victoria Bailey

AMGA has asked CMS not to finalize the coding changes included in the 2024 Medicare Advantage Advance Notice that would revise diagnoses and condition categories in the hierarchical condition...

How E/M Payment Policy Changes Impacted Physician Reimbursement

by Victoria Bailey

Evaluation and management (E/M) payment policy changes implemented in 2021 resulted in higher Medicare reimbursement for most physicians but only led to a modest decrease in the payment gap between...

Study Finds MIPS Scores Don’t Reflect True Quality Performance

by Jacqueline LaPointe

A recent study out of the Weill Cornell Medical College questions whether the Merit-Based Incentive Payment System (MIPS) accurately captures the quality of care delivered by primary care...

AHA Urges MedPAC to Consider Higher Medicare Payment Updates for 2024

by Victoria Bailey

The American Hospital Association (AHA) has asked the Medicare Payment Advisory Commission (MedPAC) to consider higher Medicare payment updates before issuing its final recommendations, including...

Congress to Halve Medicare Payment Cuts Via Year-End Spending Package

by Jacqueline LaPointe

Lawmakers unveiled the $1.7 trillion year-end spending package early this morning, which is expected to avert a government shutdown by Friday if both chambers can pass the measure this week. The...

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,...