CMS payment overhaul could cut specialist pay
Editor's Note A “quiet transformation” in how Medicare pays doctors could reduce payments for specialty care, including rates for billing codes associated with surgery, diagnostic imaging, outpatient care, pain management, and orthopedics, Modern Healthcare reported July 22. According to the article, The Centers for Medicare and Medicaid Services (CMS)’ 2026…
Anesthesia costs squeeze ASCs as staffing shortages, reimbursement gaps widen
Editor's Note Ambulatory surgery centers (ASCs) continue to face a mounting anesthesia crisis: costs are rising, staffing is tightening, and reimbursement is failing to keep pace. Anesthesia payments have dropped 8.2% over the past decade, while provider salaries have risen by as much as 40%, creating a growing financial burden…
Legislation proposes to halt Medicare physician payment cuts
Editor's Note A January 31 statement from the American Medical Association (AMA) announces the organization’s support for bipartisan legislation aiming to reverse steep Medicare reimbursement reductions threatening physician practices and patient care access. Introduced by a coalition of 10 House members, the "Medicare Patient Access and Practice Stabilization Act" would…
Advanced practice providers fill capacity gaps amid continued scope-of-practice debates
Editor's Note A recent report in Becker’s Hospital Review illuminated health systems’ efforts to address physician shortage by integrating advanced practice providers (APPs) into care models. Citing projections from the Bureau of Labor Statistics (BLS), Becker’s noted that nurse practitioners (NPs) “are the fastest-growing occupation in the country, with employment in…
AMA letter expresses opposition to CRNA use of 'nurse anesthesiologist' title
Editor's Note The American Medical Association (AMA) expressed “strong opposition” to a proposed regulation in Washington, DC, that would allow certified registered nurse anesthetists (CRNAs) to use the title “nurse anesthesiologist.” As detailed in a December 2 announcement, a letter to the DC Department of Health from AMA CEO James…
2025 Medicare reimbursement cuts spark concern among physicians
Editor's Note Doctors facing inflationary and operational cost increases are decrying recently finalized 2025 Medicare reimbursement rates, according to a November 4 report in Healthcare Dive. The 2025 rates reduce physician payments by 2.9% while increasing rates for hospital outpatient departments and ambulatory surgery centers (ASCs) by 2.9%, the outlet…
Physician survey illuminates negative impact of prior authorization
Editor's Note The American Medical Association (AMA) annual, nationwide prior authorization survey reveals that over 90% of physicians believe prior authorization negatively impacts patient clinical outcomes. “More telling,” AMA reported July 17, is the fact that 78% of physicians report that this process “sometimes or often” leads to patients abandoning…
Survey: Physician burnout reaches lowest point since pandemic
Editor's Note Less than half of physicians surveyed by the American Medical Association (AMA) in 2023 reported feeling burned out—the first time the figure has dropped below the 50% mark since 2020. These findings evidence continued decline in burnout from the record-high 62.8% in 2021 and 53% in 2022, according…
Doctors hit by cyberattack seek legal action against UnitedHealth
Editor's Note Doctors are urging the American Medical Association (AMA) to take legal action or otherwise help recoup their losses from the February 21 Cyberattack on Change Healthcare, a division of United HealthGroup. Forbes reported the news June 3. The article cites a a resolution before the AMA’s reference committee on amendments…
Cyberattack-affected Providers seek clarity on stolen data reporting responsibility
Editor's Note A joint letter from the American Medical Association (AMA) and more than 100 medical organizations asks Health and Human Services (HHS) Secretary Xavier Becerra to confirm that providers do not bear responsibility for legal reporting requirements for information stolen in the Change Healthcare cyberattack, including personal patient data.…
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