The gap between Medicare payment rates and physician practice expenses continues to grow, according to a Medscape report. Medicare’s fee-for-service rates have increased 9 percent in the last decade, ...

In the healthcare finance world, it’s conventional wisdom to believe lower Medicare payment rates to hospitals lead to higher rates, or cost-shifting, to private health insurers, but according to a ...

Hospitals appear to be on a collision course with the Trump administration over its push to change the way Medicare pays them ...

HHS announced a 5.06% average increase in the government's final reimbursement rates for 2026 Medicare Advantage health plans run by private insurers, more than double the increase it proposed in ...

With skilled nursing improper payment rates more than double the overall rate for Medicare, nursing homes must remain vigilant for lapses in documentation and validation failures that could lead to ...

Health insurer stocks are trading higher after the market close on Monday following a report indicating the Trump administration will increase payment rates for Medicare insurers. What Happened: The ...

The non-partisan Congressional Budget Office has estimated the financial repercussions of maintaining Medicare’s current payment rates to physicians, finding it would increase federal spending by $10 ...

Henry Rogala thought Excellus’s upcoming rate hike must be a typo. The cost of Medicare Advantage for the 76-year-old retiree is going up 70% in 2026 — that’s $21.80 extra a month, the insurer warned ...

“Allowable rate” refers to the maximum rate at which Medicare compensates doctors for their services, regardless of what the provider might otherwise charge. Medicare’s allowable rate may also be ...

Medicare groups the settings of medical procedures into two categories: facilities and non-facilities. The category determines the cost of the procedure and the reimbursement rate for doctors. Doctors ...

The term “allowable rate” refers to the highest amount that Medicare will pay doctors for their services, regardless of whether the healthcare professional or clinic might otherwise bill the insurer.