Practice Finance

Survey data show that delays, denials and added steps tied to prior authorization are worsening patient outcomes and creating frustration — but AI may help streamline the process.

Pledge to streamline the process comes amid growing public and government pressure, but the previous industry promises in 2018 accomplished little.

Out-of-pocket caps protect high spenders, but many others could see their drug costs rise.

Electronic health records are vital to practice operations. A digital estate plan keeps them accessible

Reimbursement based on Medicare Economics Index will have a cost but ensure beneficiary access, commission says.

AI and data analytics will cut through administrative clutter and enable payers and providers to collaborate proactively, especially for “rising risk” patient groups

Physicians in supported, full-risk VBC models saw more new Traditional Medicare patients and kept panels open longer.

CMS Innovation Center leader outlines strategy for Making America Healthy Again.

Transitioning your medical practice takes careful planning, communication and the right professional support.

A discussion with Duke University's Mark McClellan, M.D., Ph.D., about why value-based care hasn’t been adopted more quickly

Discover how effective teamwork in health care enhances patient outcomes, optimizes care management and boosts staff satisfaction in value-based care settings.

What to make of the market right now? Here are insights on factors driving consolidation and strategies to build value in the physician practice management sector.

Aledade and ACOs press CMS to fix benchmarking error that could slash shared savings

Balancing the ledger and the mission with up-front payment solutions strengthens access and revenue.

Survey finds small practices deliver high satisfaction and deeper patient relationships.

AdvancedMD survey shows financial health is top of mind as practices eye payer renegotiations, service expansion and staffing boosts.

A new study in JAMA Health Forum finds women primary care physicians earn more under value-based models — while delivering better outcomes and fewer hospital visits.

Optimizing revenue cycle management for mental health providers, and how primary care physicians can help bridge the gap.

Health care providers can enhance patient satisfaction by adopting digital payment solutions and transparency, addressing consumer demands for convenience and clarity.

Test your coding knowledge with this engaging quiz on CPT, ICD-10, and E/M guidelines, featuring real-world scenarios and compliance standards.

Republican committee chair says Medicaid claims are unfounded, but advocacy groups, Democrats are predicting dire consequences.

GI Alliance partners with IKS Health to enhance revenue-cycle management with AI, streamlining operations for over 900 gastroenterologists nationwide.

The secrets of evaluation and management coding success.

Medicare data shows a shift toward larger, multispecialty and hospital-affiliated practices.

Physicians can enhance cash flow and practice profitability by mastering claims management, addressing denials, and optimizing revenue cycle processes for better patient care.

Hidden costs are draining your practice. Here’s where they are — and how to take control.

NAACOS urges Trump Administration to ensure ACOs and value-based care are part of health policy going forward.

What to make of the market right now? Here are insights on factors driving consolidation and strategies to build value in the physician practice management sector.

Experts warn that expanding health care conglomerates threaten competition, increase costs and limit independent practitioners' autonomy, urging regulatory action.

Learn how prior authorization began, why it hurts doctors and patients, and how new CMS rules and AI could finally streamline the process in 2025 and beyond.