Woman staring through glass

Payment & Delivery Models

3 must-do’s for the move to value-based care

Universal agreement on how to define and measure “value” in medicine remains elusive. But doctors and others find consensus on keys to the way forward.

Stethoscope on computer keyboard

Medicare

Medicaid fraud: Case would wrongly expand physician liability

If trial conviction stands, having no knowledge of how others billed Medicaid for your services would no longer be a viable defense when false-claim allegations arise.

Physician holding a tablet

Medicare

5 things doctors need to know about 2020 Medicare fee schedule

A slightly heavier lift from physicians will be required to avoid penalties and earn bonuses under the Merit-based Incentive Payment System.

Senior patient

Payment & Delivery Models

Medicare Advantage contracts can be vehicle to drive improvement

Medicare Advantage contracts enable innovation that aligns the values of patients and physicians—and may reduce burnout in the process.

Medicare

Reporting appropriate use criteria in claims for Medicare patients

The Centers for Medicare & Medicaid Services (CMS) releases requirements for reporting appropriate use criteria (AUC) in claims for Medicare patients.

Man talking with physician

Patient Support & Advocacy

5 years of evidence shows how expanding Medicaid boosts health

Fourteen states refuse to expand Medicaid. Research shows they are doing their constituents a disservice in denying them the health benefits of expansion.

Elderly man writing

Medicare

Confusion prevails on 2020 Medicare supplement plan changes

If you turn 65 in 2020, your Medigap options will differ from what’s been available. Here’s what senior physicians should understand about the changing landscape.

Smiling woman reading tablet

Digital

Federal law cripples telehealth in Medicare. New bill changes that.

Bipartisan Senate bill would eliminate barriers that have made it hard for Medicare patients to access telehealth services from physicians.

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Essential Advocacy Tools & Resources

Payment reform: Council on Medical services reports

Medicare physician payment schedules

Join in on national advocacy efforts

State advocacy resources