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AMA releases CPT 2026 code set, adds codes for health AI
The American Medical Association released the Current Procedural Terminology 2026 code set, adding 288 new codes for emerging services like remote patient monitoring and health AI.
How ACOs continue winning streak despite program headwinds
ACOs in the Medicare Shared Savings Program outdid themselves again, saving a record $6.5B in the 2024 performance year and truly demonstrating the value of the ACO model.
No Surprises Act IDR process costs $5B in fees, extra payments
From administrative fees to internal costs, the IDR process under the No Surprises Act adds billions in extra healthcare spending and spurs worries about downstream costs.
Patient repayment rates to hospitals declined after COVID-19
Patient repayment rates declined after the COVID-19 pandemic, as patients increasingly stopped paying some medical bills, a new study revealed.
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Latest News
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AMA releases CPT 2026 code set, adds codes for health AI
The American Medical Association released the Current Procedural Terminology 2026 code set, adding 288 new codes for emerging services like remote patient monitoring and health AI.
-
No Surprises Act IDR process costs $5B in fees, extra payments
From administrative fees to internal costs, the IDR process under the No Surprises Act adds billions in extra healthcare spending and spurs worries about downstream costs.
-
Patient repayment rates to hospitals declined after COVID-19
Patient repayment rates declined after the COVID-19 pandemic, as patients increasingly stopped paying some medical bills, a new study revealed.
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Medicare bad debt cut plan threatens struggling hospitals
A new study finds hospitals with high bad debt tend to be smaller and have lower operating margins, raising concerns about a potential elimination of Medicare bad debt payments.
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Transparency in Coverage data reveals stark rate variations
A report analyzing Transparency in Coverage data reveals stark differences in negotiated rates for care across geography, payers, care settings and facilities.
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Study raises concerns about safety-net TEAM participation
About 14% of TEAM participants are part of healthcare's safety-net; however, safety-net hospitals tend to be disproportionately penalized in bundled payment models.
Features
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How ACOs continue winning streak despite program headwinds
ACOs in the Medicare Shared Savings Program outdid themselves again, saving a record $6.5B in the 2024 performance year and truly demonstrating the value of the ACO model.
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Doing more with less: The state of physician reimbursement
New physician performance data shows increases in net patient revenue and provider productivity while reimbursement stays flat, meaning groups are doing more with fewer resources.
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From CAC to autonomous, AI heralds medical coding's future
AI is pushing medical coding to its next era, in which autonomous coding can scale across all specialties, automate up to 90% of cases and drive revenue integrity.
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Exploring TEAM: Bundled payments, updates and how to prepare
CMS' next value-based care step is the Transforming Episode Accountability Model, or TEAM, requiring some hospitals to participate in the risk-based bundled payments model.