Medicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreA new editorial in the American Journal of Neuroradiology (AJNR) breaks down the No Surprises Act and describes why the surprise billing arbitration process and qualifying payment amount (QPA), as defined in the government’s final rules, are problematic for radiologists. With a focus on neuroradiology, the article explains why the QPA may not represent “real world” rates yet is the benchmark for payments.
While the American College of Radiology® (ACR®) supports the law and its important patient protections, the negative implications of the government’s implementation of the law may include lost network contracts with insurers, reduced in-network rates and assumption of the costs of arbitration. Lawsuits remain in play.
The AJNR article was authored by radiologists at Oschner and Radiology Partners, in collaboration with ACR’s Economics, Government Relations and Harvey L. Neiman Health Policy Institute® (HPI) teams.
For more information, contact Elizabeth Rula, PhD, Executive Director, HPI.
Medicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreCMS Announces Prior Authorization Test Model
WiSer is a six-year program that will begin in six states on January 1, 2026. It will introduce prior authorization using AI technology for a select number of services, including some IR procedures.
Read moreSupreme Court Upholds Preventive Services Coverage
ACR commends the Supreme Court’s ruling affirming the constitutionality of the structure and appointment process of the U.S. Preventive Services Task Force.
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