Practice Finance

Sage Growth Partners CEO Dan D'Orazio says fee-for-service revenue still outweighs the penalties meant to move hospitals and physicians away from it, and he expects value-based care to make incremental gains at best.

Two health care attorneys discuss trends in physician employment

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.

Anders Gilberg of MGMA explains the same-day payment proposal sitting in Medicare's 2027 fee schedule, and why practices won't know its fate until the final rule lands around Nov. 1.

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.

A dermatologist and a group of physician investors reopened a shuttered 25-bed Florida hospital, and now they want Congress to let other doctors do the same.

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.

Admission, discharge and transfer alerts were set up for fee-for-service, not value-based care.

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.

WalletHub scored all 50 states and Washington, D.C., on 16 vaccination metrics.

As more payors adopt automatic E/M downcoding policies, practices that skip payment validation risk leaving significant revenue on the table.

Emergency department self-pay visits rose from 5.5% to 7.6% of encounters, the steepest of four care settings tracked, while Medicaid's share declined across the board, according to Epic Research

There a six recurring errors that leave independent practices financing equipment on terms mismatched to how they actually get paid.

Lawrence Casalino, M.D., Ph.D., M.P.H., argues that as medicine consolidates, physicians are increasingly treated as interchangeable parts, and that the damage shows up in the parts of care no quality program measures.