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2/ Links:
2/ From @AmerMedicalAssn: The case, Palmer v. Bonta, was filed by three nurse practitioners who held a Doctor of Nursing Practice (DNP) degree and asserted that California’s law reserving the title doctor to licensed physicians violated their First Amendment right to free speech.
2/ As OBBBA was debated, AMA advocated against provisions that will severely cut funding for federal health programs & restrict access to health care coverage.
2/ “This…mirrors AMA’s January 2025 advocacy calling for HHS to integrate plan network data into Plan Finder. Once this is complete, patients no longer will be forced to click through multiple websites just to confirm if their physicians are in-network.
2/ **ISSUE OF CONCERN:
2/ AMA reports on the 10 largest PBMs & drug insurers nationally, summarizes concentration levels (HHIs) in their markets, & describes the extent of vertical integration of insurers with PBMs.
2/ Wasteful and Inappropriate Service Reduction (WISeR) Model is a “…substantial shift in the traditional Medicare program’s approach to utilization management (UM) and prior authorization (PA)…potential for unintended consequences that could harm both patients and physicians.”
2/🔹Conversion Factors (CF): Effects of MACRA, H.R. 1, Budget Neutrality
2/ 🚨If you experience any new challenges related to increased RADV audit activity, the AMA encourages you to share your feedback with AMA to ensure they properly represent your concerns with the administration. Contact: Jamal.Bowleg@ama-assn.org
2/ “According to a new survey from @AmerMedicalAssn, 3️⃣ in 5️⃣ physicians (61%) are concerned that health plans’ use of AI is increasing prior auth denials, exacerbating avoidable patient harms and escalating unnecessary waste now and into the future.”
2/ 🚩 “Medicare Advantage plans may have low premiums but they are pay-as-you-go, copayments or coinsurance for medical services.”
2/ The @AmerMedicalAssn created a summary brief about the new final regulation.


2/🔥AMA survey shows that turmoil caused by excessive authorization controls leads to:





2/ Please read the UHG press release here:
2/ On March 25, the Department of Health and Human Services (HHS) distributed these resources to assist physicians, pharmacists and hospitals, with the aftermath of the Change Healthcare #cybersecurity attacks.

2/ 🔴 The letter:
2/ The letter also asked the Depts to address additional concerns of physicians:
2/ The 2023 edition of Competition in Health Insurance: A Comprehensive Study of U.S. Markets examined 381 metropolitan statistical areas (MSAs), the 50 states and D.C. and tabulated market shares for the two largest health insurance companies.
2/ “Building upon current policy on AI, the principles serve as the cornerstone for AMA advocacy on AI and…”
2/ The AMA will analyze the final rule and develop a detailed summary in the coming days, but wanted to raise immediate awareness of a handful of key provisions as well as ongoing AMA efforts to mitigate negative impacts on physician pay.