Physician practices that served a disproportionate share of medically and socially high-risk patients in the first year of the Medicare Physician Value-Based Payment Modifier Program were more likely to receive a penalty compared with other practices, according to a study published today in the Journal of the American Medical Association. The study looked at program payments made in 2015 to 899 large practices caring for more than 5.1 million Medicare fee-for-service beneficiaries in 2013. It found that practices serving more socially high-risk patients had lower quality and lower costs, while practices serving more medically high-risk patients had lower quality and higher costs.

Headline
The Medicare Payment Advisory Commission March 12 released its March 2026 report to Congress, which includes its recommended payment rates for hospital…
Headline
The Centers for Medicare & Medicaid Services March 11 issued guidance to state survey agency directors clarifying and reinforcing the roles and…
Headline
The Joint Economic Committee March 10 released a report that found Medicare Part B premiums rose last year due to Medicare Advantage overpayments. The…
Headline
The Centers for Medicare & Medicaid Services Feb. 25 released a request for information on potential regulatory changes in a possible future…
Headline
The Centers for Medicare & Medicaid Services Feb. 23 announced the development of its Medicare App Library. As part of the agency’s Health Technology…
Headline
The Congressional Budget Office has projected that the Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2040 — 12 years…