Clinical Practice Management

Physician groups warn nearly 10% in Medicare cuts could stall shift to value-based care, force staff cuts Physician groups charge a series of cuts to Medicare payments set to go into effect in 2022 could force them to hold off on a shift to value-based care.

CMS bans surprise billing It's the first of several new rules banning surprise billing under the No Surprises Act.

Senate passes bill to extend Medicare sequester fix through 2021 The Senate passed legislation Thursday intended to extend through 2021 a moratorium on a 2% cut to Medicare payments that was installed under the sequester.

Newsroom - New UnitedHealthcare Benefit for Low Back Pain Helps Reduce Invasive Procedures and Address the Opioid Epidemic By encouraging people with low back pain to access physical therapy or chiropractic care, the benefit design is expected to reduce the number of imaging tests, spinal surgeries and opioid prescriptions MINNETONKA, Minn. (Oct. 29, 2019) – UnitedHealthcare has introduced a new benefit for people wit...

https://www.cms.gov/newsroom/press-releases/trump-administration-announces-medicare-fee-service-estimated-improper-payments-decline-15-billion

Trump Administration Announces Medicare Fee-For-Service Estimated Improper Payments Decline by $15 Billion Since 2016 | CMS The Centers for Medicare & Medicaid Services (CMS) announced today that the Medicare Fee- For-Service (FFS) improper payment rate has continued to decline, reinforcing the Trump Administration and CMS’ commitment to strengthening Medicare and protecting taxpayer dollars. This translates to less fr...

More Insurances Announce They Are Making Telehealth Permanent For Physical Therapy - Elite Learning With the COVID-19 pandemic keeping many Americans home, telehealth services have emerged as an alternative to in-person care. Prior to this telehealth was an option for some medical services, however most insurances did not cover physical, occupational and speech therapy delivered by this method. Te...

Trump signs executive order to expand telehealth, boost rural health care President Donal Trump issued an executive order Monday to support healthcare in rural areas by permanently expanding some telehealth services beyond the COVID-19 pandemic. Here is what the administration plans to do.

Some providers face daunting repayment deadline for Medicare advance loans Some providers will have to start repaying the Centers for Medicare & Medicaid Services for Medicare advance payment loans on Aug. 1, as hospital groups press Congress and the agency for adjusting the repayment terms.

Senators call for permanent changes to expand telehealth access post-pandemic The healthcare industry is speculating about the future of telehealth changes after increased use during the pandemic. A group of 30 senators are calling for Congressional leaders to ensure expanded Medicare reimbursement continues after the pandemic subsidies.

UnitedHealth execs: Patients are using telehealth for convenience, not as a necessity Telehealth use began to skyrocket back in March as patients saw virtual care as a necessity amid the COVID-19 pandemic. Patients are continuing to see doctors over video visits, but for different reasons now—it's more convenient and faster than going to see the doctor in person. Find out why Optum...