What to Know About How Medicare Pays Physicians

In November 2024, CMS finalized a 2.83% decrease in the physician fee schedule conversion factor, a key aspect of payment rates under the Medicare program, resulting in a 2.93% decrease in overall payments to physicians and other clinicians. Congress has not yet enacted legislation to address this payment cut, which went into effect on January…

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What’s Missing from Your Tool Chest? How Health Plans Can Improve Star Ratings in Medicare Advantage

The pathway for health plans to achieve better Star ratings performance in their MA business depends on creating an ecosystem where providers are supported with the right tools and resources, incentives are properly aligned, and the member experience remains central to all initiatives. The post What’s Missing from Your Tool Chest? How Health Plans Can…

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The Nobel Prize’s Amazing Track Record in Immunology

By MIKE MAGEE With the announcement of the 2025 Nobel Prize in Physiology or Medicine last week, the American Association of Immunologists (AAI) took an understandable victory lap, stating: “This Nobel Prize demonstrates how immunology is central to medicine and human health. The ability to harness, modulate, or restrain immune responses holds promise across a…

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