Increasing price transparency at hospitals and healthcare organizations has been a priority for President Donald Trump’s as his administration seeks to increase clarity for patients surrounding what they will actually pay for for services. While federal price transparency laws have…
ASC Coding, Billing & Collections
Nationally, roughly 1% of U.S. physicians have opted out of Medicare entirely, according to 2025 data from KFF. While 1% appears to be a marginal number upon first glance, a closer look at where those exits are happening, and what…
The No Surprises Act was designed to protect patients from unexpected medical bills, but it has also created a complex administrative network that some leaders believe burdens independent practices. Eric Haas, MD, chief medical officer of the American Academy of…
A federal judge in Chicago has denied class certification in an antitrust lawsuit brought by former employees of SCA Health, DaVita and United Surgical Partners International alleging a no-poach agreement suppressed wages among senior outpatient clinic employees, according to a…
Most surgical practices treat network participation as a prerequisite for building volume, staying busy and keeping the lights on. But Anthony Maioriello, MD, challenged that assumption at Becker’s Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference…
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It is often said that the operating room minute is the most expensive unit of time in healthcare — but that doesn’t mean it’s necessarily central to ASC profit margins. Michael Verdon, DO, a neurosurgeon and chief medical officer at…
Mark Cuban disrupted pharmaceutical pricing in 2022 with Cost Plus Drugs, a public benefit corporation that charges a flat 15% markup on generics and posts its full price list publicly, bypassing pharmacy benefit managers and intermediaries entirely. Four years later,…
The push for site-neutral payments — reimbursing providers at the same rate regardless of the site-of-service— has picked up momentum in Congress and remains a key point of advocacy for ASC leaders in Washington. At Becker’s 23rd annual Spine, Orthopedic…
An Ohio physician has been sentenced to five years of probation for her role in a healthcare fraud conspiracy that fraudulently billed Medicare for more than $1.8 million in medically unnecessary durable medical equipment and genetic testing, the Justice Department…
The Medicare Payment Advisory Commission’s June 2026 report to Congress focuses on broader Medicare payment incentives, enrollment complexity, improper payments and Medicare Advantage’s effects on provider finances. In the report, MedPac continues to build its argument that fee-for-service Medicare creates…