It's shared savings season and the check has arrived. Now how do physicians divide it up fairly?
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A new Kodiak report shows prior authorization and medical necessity denials accounted for nearly all of the 25% jump in revenue leakage. Here are four steps practices can take now to fix that.
The CMS-0057 rule regulates health plans. The question that matters is: Which of your payers will be live in your EHR on Jan. 1?
Urban Institute analysis finds 26% of insured adults owe medical debt, with hospitals the largest source
A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
Recent CMS rule changes reinforce that operational discipline is increasingly shaping reimbursement
Medical Economics spoke with Monique Delgado, former CEO of Integrated Medical Services, about where salary-only pay falls short, which metrics to tie incentives to and how to change physician pay without eroding trust.
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