Health Care / Medicine

Health Care / Medicine

Bipartisan Bill Seeks To Establish Parity Between MA & Traditional Medicare Payments

Two U.S. representatives have introduced the Prompt and Fair Pay Act, a bipartisan bill that would require Medicare Advantage plans to reimburse providers at least the same rates as traditional Medicare, as well as pay claims more promptly. Providers and industry groups have welcomed the proposal, citing mounting financial strain and growing concerns over care delays and denials.

Health Care / Medicine

Why Providers Aren’t Happy With CMS’ Outpatient Medicare Physician Payment Proposal

CMS proposed a 2.4% Medicare payment increase for hospitals’ outpatient departments and ambulatory surgery centers in 2026, along with a new two-tiered physician reimbursement structure based on participation in value-based care models. Provider groups are welcoming the short-term boosts, but they fear the changes don’t go far enough to address their long-term financial pressures.