Practice Finance

HHS finalizes price transparency updates as employers push insurance vendors to open the books.

EBRI data show employer plans pay hospital outpatient departments about twice what physician offices receive for the same physician-administered drugs, and the commercial market has barely begun to address the gap.

Why physicians owe tax on their share of practice profit rather than the cash they take out, and how entity type, footnotes and late K-1s can change the final bill.

From a same-day payment cut to AI-run prior authorization in traditional Medicare, MGMA's government affairs team laid out what Washington has in store for physicians next year.

MGMA members described capping Medicare Advantage contracts and favoring commercial patients, while one Texas practice leader reluctantly called Medicare her best payer.

At an MGMA Government Affairs town hall, attendees raised extrapolated audits, employer plans beyond state reach and denials with no reason codes.

Start with a spreadsheet, add curiosity and communication, and make a real difference to practice income.

Behavioral health has historically taken a back seat to physical health in primary care. That approach is shifting, as growing evidence underscores the importance of whole-person well-being in improving patient outcomes, strengthening care coordination and advancing value-based care.

No U.S. state scores even 2 out of 5 on patient sentiment about billing

It’s no surprise costs are outpacing revenues. Here are three strategies to bring in more income.

U.S. health care has a patient loyalty problem hiding in plain sight, says a new report based on a survey of 10,000 consumers.

A primary-care voucher model would pay practices upfront for predictable care and leave insurance to cover catastrophic risk, cutting administrative burden and giving physicians time back with patients.

CMS chief says outcomes-based pay can help patients while finally ending physicians' box-checking frustration.

Revenue per patient is a common way to split practice profit. It’s also the wrong way.

MGMA’s 100th-anniversary conference runs Sept. 27-30 in San Antonio, and these 10 sessions put physician contracts, compensation and legal exposure on the table.

Private insurance helps patients get care, but does not cover all costs, according to study by The Commonwealth Fund

U.S. health care has a patient loyalty problem hiding in plain sight, says a new report based on a survey of 10,000 consumers.

Reactions from five leading organizations were among thousands of public comments on the draft document.

Independent practices don't need more billing staff — they need better workflows before the claim is ever filed.

Physician groups back ACCESS Model but warn CMS against care fragmentation

Top HHS leaders introduce ACCESS model with discussions of patient health, costs and technology.

New national research shows health systems and health plans still can't get provider data right — and the fallout lands squarely on physician practices

Kansas court records reviewed by The New York Times show the practice charged 18% annual interest, garnished bank accounts and pursued arrest warrants over balances as small as $101.

The Pay PCPs Act of 2026 would blend prospective per-patient payments with fee-for-service, halve beneficiary cost sharing for primary care and exempt participating physicians from MIPS.

WalletHub scored all 50 states and Washington, D.C., on 16 vaccination metrics. The bottom 10 holds the state with the highest kindergarten exemption rate in the country, and one whose kindergarten coverage is among the highest anywhere.