Practice Finance

In a recent announcement, the AMA announced its support of more standardization and regulation of nonprofit hospitals.

New policy would ensure AMA support for a federal prohibition on the inappropriate denial of payment for care that is necessary and has received prior authorization.

The final CMS rule for the Physician Fee Schedule boosts primary care, but advocacy groups say the reimbursement cuts are untenable.

PACE helps address the root cause of a participant’s health issues, reducing the potential for later complications and downstream costs.

Savings is largest amount in MSSP’s decade-long history

SullivanCotter posts survey results covering salary of approximately 215,000 doctors.

AMA alleges MultiPlan is working with commercial health insurers to restrict fair payment for out-of-network services.

We do not believe that year-over-year cuts are the path to create a sustainable financial environment for physicians to be successful nor for patients to receive the best care – particularly at a time when more adults age 65 and older are increasingly relying on Medicare coverage alone.

Debunking common misconceptions about IRS section 179 for doctors' offices

Are you burned out on fee-for-service?

Credit card processing fees can be difficult to decipher, but a little work can save a lot of money

Report found that payers continue to deny claims at an alarming rate

Incentivizing high-quality care reduces costs while improving patient outcomes.

Private equity investment or hospital ownership can offer management advantages. Yet doctors are opting for something else: autonomy.

Report found commonalities among high-performing ACOs

Five specialties examined in review commissioned by American Independent Medical Practice Association.

Study shows that health savings and flexible spending accounts may be driving up insurance premiums

To transform the promise of value-based care into reality, the health care industry must truly work together and accelerate the implementation and adoption of this impactful care model

Commonwealth Fund experts consider value-based care, but it’s likely not a magic bullet to reduce administrative costs or friction.

Insurers are using AI to deny claims – so isn’t it time to start using AI to get them approved?

It’s crucial to have a robust program for responding to denied claims. Here’s how to build one.

Whether you're considering selling your practice, bringing in a partner, or preparing for retirement, having a clear and accurate valuation is essential for making informed decisions about your practice’s future.

What you need to know before making the sale

Here is some guidance for how practice owners can view their practices as outsiders and questions for physicians to ask as they contemplate joining a practice, especially as a future partner.

Expect patient care to suffer when physicians face a 2.8% decrease in reimbursement in 2025, even as regulators acknowledge practice costs are going up.

Our 95th annual Physician Report covers the latest data on practicing physicians, including salaries, practice financial health, productivity, malpractice rates, the state of the profession and more. Free registration required to view.

Industry analyst outlines care management programs for physicians.

Study examines quality measures per contract and finds there are a lot of them.

Many of these items should be addressed in advance of going to market or accepting indications of interest from potential buyers.