Practice Finance

A physician's FAQ guide to Medicare's visit-complexity add-on code

Advanced practice providers have moved from stopgap to permanent staff, and physicians are absorbing the change in patient acuity, productivity benchmarks and rural coverage.

Is the physician practice roll-up industry dead or humming along? The answer depends on the sector, specialty and platform.

WalletHub ranked all 50 states and the District of Columbia on 44 measures of cost, access and outcomes.

WalletHub ranked all 50 states and the District of Columbia on 44 measures of cost, access and outcomes.

Structural financial incentives explain why value-based care has stalled — even as new data and payer-provider strategies show where the model is already working.

Clinics and physician practices accounted for almost 30% of health care Chapter 11 filings in the first half of 2026, the one subsector climbing while the rest trended flat or down, according to a new Gibbins Advisors report.

Medicare rates, prior authorization, telehealth and Medicaid coverage all change between Sept. 14, 2026, and Jan. 1, 2028.

Why value-based care requires AI that tells clinicians not just who is at risk, but which interventions are most likely to change outcomes.

Overhead swallows roughly 60% of the typical practice's revenue, and most of it sits in a few line items. These nine moves pull real money off that number without touching the exam room — and the biggest lever is the one most owners are slowest to open.

The 2026 Medicare Advantage raise is a pause, not a trend. When rates tighten in 2027, these basics will separate a shared savings check from a shortfall.

Health policy veteran and "Zen Lobbyist" author Gary Jacobs argues that the payment system, not the insurers, is behind a second straight year of double-digit ACA premium increases, and that primary care-led risk is the only durable fix.

Fax machines are gone from billing. Prior authorization and clinical communication are still stuck in 1985.

Physician lawmakers support primary care, inflation-indexed payments and new POINTS system for quality reporting.

CMS wants to cut the conversion factor, rewrite the G2211 add-on into a percentage modifier, halve payment for same-day procedures and put an expiration date on traditional MIPS.

Accountable care wins, but physicians and policy experts warn cuts are baked in

Aligning access, revenue cycles and digital engagement can reduce friction, improve transparency and accelerate collections

Physicians in eight specialties now clear $500,000 a year, and the distance between the top earners and primary care keeps growing.

Why did Medicare risk adjustment become little more than mining charts, checking boxes and gaming the system?

Insurers are seeking a median 14% increase for 2027, a jump that would leave typical marketplace premiums more than one-third higher in two years.

Answers on adapting to shifts in Medicare, with three strategies to implement right now.

Most practices collect less than half of what patients owe. Here's how to change that — in any month of the year.

Where you set up shop can quietly cost you thousands. These are the states that take the biggest share of residents' income in state and local taxes.

Can independent practices turn Medicare into a strategic advantage? How to go from liability to leverage

Percentage of collections is the least informative number