American Hospital Association

CMS issues updated guidance on Medicare telehealth services

The Centers for Medicare & Medicaid Services will retroactively pay claims for telehealth services provided during the government shutdown through Jan. 30, the agency said in an updated FAQ Nov.
Health Affairs

Frequency Of Indirect Billing To Medicare For Nurse Practitioner And Physician Assistant Office Visits

Nurse practitioners (NPs) and physician assistants (PAs) represent a growing share of the health care workforce, but much of the care they provide cannot be observed in claims data because of indirect ...
Health Affairs

Coverage Denials: Government And Private Insurer Policies For Medical Necessity In Medicare

Little is publicly known about coverage denials for medical services that do not meet medical necessity criteria. We characterized the extent of these denials and their key features, using Medicare ...
Committee for a Responsible Federal Budget

Fixing Medicare Physician Payments

Medicare pays physicians in traditional fee-for-service through the Physician Fee Schedule (PFS), which sets specific payment amounts for more than 10,000 procedures, tests, and imaging codes repre ...
MedPage Today

Final Medicare Physician Fee Schedule Rule Displeases Doc Groups

Physician groups were generally dissatisfied with the final 2026 Medicare Physician Fee Schedule rule released late last week by the Centers for Medicare & Medicaid Services (CMS). "Decades of ...
Federal Register

Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings ...

This table of contents is a navigational tool, processed from the headings within the legal text of Federal Register documents. This repetition of headings to form internal navigation links has no ...
WJBF

MIMEDX Comments on CY 2026 Medicare Physician Fee Schedule Final Rule

MARIETTA, Ga., Nov. 03, 2025 (GLOBE NEWSWIRE) -- MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”) today commented on the Centers for Medicare and Medicaid Services (“CMS”) release of the ...
Healthcare Dive

Medicare finalizes controversial cut to specialty care next year

Medicare has locked in a controversial pay cut for specialty doctors next year, normalizing reimbursement between specialists and primary care doctors and curbing the influence of a powerful physician ...
mcknightshomecare

CMS finalizes 2026 physician fee schedule with new payment model, focus on chronic disease

The Centers for Medicare & Medicaid Services late Friday released its 2026 Medicare physician fee schedule. Among the provisions in the schedule is a new Ambulatory Specialty Model, a payment model ...
American College of Cardiology

Dive Into the 2026 Medicare Physician Fee Schedule Final Rule

The Centers for Medicare and Medicaid Services (CMS) has released the 2026 Medicare Physician Fee Schedule (PFS) final rule, updating the PFS conversion factor from $32.3465 to $33.5675 for qualifying ...
Healthcare Dive

How to reform Medicare’s physician fee schedule to reprioritize primary care

Primary care physicians are often called the quarterbacks of healthcare because they coordinate and direct patients’ journeys through the medical system. On a typical NFL team, the quarterback is the ...