Practice Finance

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

The phased changes end value-based pay on incident-to claims and require many clinicians to bill under their own NPI.

Here’s how to get paid more for managing patient complex conditions over time.

A new survey of physicians, nurses and health care leaders points to burnout, reimbursement uncertainty and the pace of AI adoption as the top threats to the system, even as national data show physician burnout easing.

Medicare’s G2211 code has a critical design flaw by applying a primary care fix to specialty care

Structures, pressures and capital trends shaping the industry

A bipartisan bill to fix Medicare's budget-neutrality rules cleared a key House committee. But this year's 2.5% pay bump is already eroding, and it disappears in 2027 without further action.

Start thinking about taxes now to maximize your deductions later, even if it takes more time than usual.

Most physicians are now paid through a blend of base, productivity and quality. How to read your own deal and make it work for you.

A panel of revenue cycle leaders at the MGMA Summit Digital Conference outlined where patient billing is headed and why physicians should pay attention.

Panacea Financial's 2026 survey found that physician financial confidence barely budges across an entire career. The reasons why go deeper than income.

A new JAMA proposal would treat primary care as a public utility, pooling the dollars payers already spend on it into a single state fund that pays practices directly, with no new spending needed to start.