This year, providers may be struggling with meeting deadlines on reporting for the Merit-based Incentive Payment System (MIPS) and avoiding a negative payment adjustment. In a few years, however, they’ll expect solutions to more complicated issues surrounding value-based reimbursement, according to Tim Mills, chief growth officer at revenue cycle, coding and billing software company Alpha II.

A group of U.S. senators has sent a letter to dozens of healthcare industry groups asking for more information on what price and quality information is available to consumers and what regulations may be getting in the way of greater price transparency.

The Trump administration’s plans to expand the availability of association health plans could siphon up to 4.3 million people from the individual and small group insurance markets over the next five years, raising premiums on those who remain in plans which are compliant with the Affordable Care Act (ACA).

A large majority of medical group professionals responding to a poll from the Medical Group Management Association (MGMA) was opposed to mandatory participation in alternative payment models in Medicare, a policy CMS has been moving away from under President Donald Trump.

The previously proposed merger between Boston’s Partners Healthcare and Care New England, one of the largest systems in Rhode Island, may have a third partner: Lifespan, the operator of Rhode Island Hospital.

A group of senators has introduced a new bill aimed at fighting opioid abuse and addiction, including limits on initial prescriptions for acute pain and an expanded role for non-physician practitioners in prescribing buprenorphine.

In an article for Health Affairs, a group of fellows at the Brookings Institution made the case for replacing the Merit-based Incentive Payment System (MIPS) with “stronger incentives” to move into alternative payment models (APMs).

In 2012, the U.S. Supreme Court upheld the constitutionality of the Affordable Care Act (ACA)’s individual mandate. With the mandate’s penalty now eliminated under President Donald Trump, 20 states are using the earlier ruling as the basis for a new lawsuit seeking to “effectively repeal Obamacare.”