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News
CMS announces 2027 Medicare pay cut as ACR decries ‘breaking point’ for physicians
7+ hour, 22+ min ago (569+ words) The newly proposed Medicare fee schedule for 2027 would cut physician pay by 1.68%, or 1.19% for those participating in qualifying alternative payment models, according to a fact sheet released by CMS.The projected Medicare Physician Fee Schedule (PFS) for 2027, which CMS unveiled…...
Variation in cardiology services pricing by insurer
4+ day, 3+ hour ago (58+ words) Variation in facility fees was linked to significant differences in cost of cardiology services with major national insurers, according to a study published in JAMA Network Open.Facility fees varied by nearly $30,000 for certain cardiology procedures, with UnitedHealthcare and Blue…...
Insurance type may tie to transplant referral odds in some states
2+ mon, 1+ week ago (58+ words) NEW ORLEANS — Patients with Medicare Advantage plans may have lower odds of receiving a kidney transplant referral than patients with traditional Medicare, data presented at the National Kidney Foundation Spring Clinical Meetings show. More than 50% of Medicare-eligible patients receiving dialysis…...
CMS payment rate increases 2.2% for dialysis facilities
6+ mon, 5+ day ago (282+ words) CMS issued its final rule for the End-Stage Renal Disease Prospective Payment System base rate for dialysis facilities to $281.71 beginning Jan. 1, 2026, according to an agency press release. The final rate increased $7.89 from the calendar year 2025 base rate of $273.82. The rate…...
Racial/ethnic disparities persist in care process for PCI, hospital transfer
9+ mon, 2+ week ago (337+ words) Compared with white patients, Black patients were less likely to undergo PCI when presenting to a PCI-capable hospital, and both Black and Hispanic patients were less likely to be transferred to a PCI-capable hospital if initially presenting to one without…...
Patterns emerge in Medicare opt-out rates for orthopedic surgery
4+ mon, 2+ week ago (323+ words) NEW ORLEANS — Although formal opt-out rates from Medicare are low among orthopedic surgeons, a presenter here said patterns exist across subspecialty, region and practice type. Using the CMS Opt-Out Affidavit database, Hurley and colleagues identified 321 orthopedic surgeons who formally opted…...
CMS continues move to alternative payment models with launch of value-based care model
5+ mon, 2+ week ago (738+ words) On Jan. 1, CMS launched the latest value-based care model known as the Transforming Episode Accountability Model, or the TEAM model. Implemented from Jan. 1, 2026, to Dec. 31, 2030, the TEAM model will require selected acute care hospitals to coordinate care from surgery through…...
Most optometrists to get pay raise under 2026 Medicare Physician Fee Schedule
7+ mon, 3+ week ago (270+ words) Next year’s Medicare Physician Fee Schedule includes a 2.5% increase in physician pay, promising a “slight” bump in earnings for most U.S. optometrists, according to a press release from the American Optometric Association. AOA said the pay increase resulted from “last-minute…...
Q&A: Medicare PFS will benefit primary care, but budget neutrality is ‘the bigger issue’
7+ mon, 1+ week ago (402+ words) Several changes in the 2026 Medicare Physicians Fee Schedule, or PFS, will help to better support primary, preventive and comprehensive health care, according to several organizations. For example, the PFS introduces an efficiency adjustment that ACP said “will help account for…...
Bundled payment program reduced health care spending among physician groups, hospitals
10+ mon, 1+ week ago (392+ words) Results presented in JAMA Health Forum showed participation in the Bundled Payments for Care Improvement Advanced program reduced health care spending among both physician group practices and hospitals. “In addition to hospital success in bundled payments, which we have seen,…...