Practice Finance

Andrew Swanson, M.P.A., FACMPE, chief revenue officer at MGMA, joins the show to talk about the pressures facing practices, from shrinking reimbursements to rising costs.

MGMA Leaders Conference session underscores link between pay models, burnout and culture.

At the MGMA Leaders Conference 2025 in Orlando, speakers outlined how “agentic AI” — adaptive, goal-driven automation — could transform revenue cycle workflows, from prior authorizations to collections, while cautioning practices to separate real solutions from hype.

Navigating the sale of a medical practice involves crucial tax strategies that maximize after-tax proceeds and ensure a successful financial transition.

Direct primary care can transform rural health care and empower physicians to provide personalized care.

From automation to analytics, physicians can use these strategies to reduce stress and sharpen efficiency.

Health Care Cost Institute analysis highlights shrinking investment, wide state variation and sharper rural reliance on primary care.

A study of more than 3 million Medicare Advantage beneficiaries shows patients in value-based, senior-focused primary care organizations see their physicians more often and with greater continuity than those in fee-for-service settings.

A JAMA viewpoint argues new reimbursement policies may deliver long-sought revenue to primary care, though uptake, staffing and fee cuts elsewhere cloud the outlook.

Doug Marcey, CTO of Coronis Health, breaks down where AI fits into revenue cycle management — and why the right processes need to come first for automation to truly deliver results.

Sticker prices rarely tell the full story. Here’s what independent practices should know before investing in a billing platform.

Sara Pastoor, M.D., M.H.A., FAAFP, and Manisha Goud of Elation Health explain how practices can reclaim time, reduce overhead and deliver better care by fixing the behind-the-scenes systems that quietly drain revenue.

Brian Hall, VP of sales strategy at Veradigm, explains how practices can boost revenue by focusing on a few high-impact KPIs — and getting the whole team aligned on what really drives cash flow.

HCC vs. CPT vs. ICD-10-CM coding: What practices need to understand about coding when shifting from fee-for-service to value-based care

The California Medical Association launches MedWay, a new administrative management service for independent medical practices.

The California Medical Association launches MedWay, a new administrative management service for independent medical practices.

New analysis argues that Medicare’s payment system undervalues cognitive effort in primary care, contributing to physician shortages and reduced patient access.

SullivanCotter survey shows faster wage growth for frontline roles as systems juggle costs and retention.

MedWay completes its first quarter serving independent doctors’ offices and physician-led health centers.

Older patients increasingly embrace digital payments for health care, highlighting the need for providers to enhance communication and accessibility of these tools.

Clean claims that drive quick payments require foundational workflows, configuring systems properly from the start, and regularly revisiting how you measure success.

Health insurance companies pledge prior authorization reform, yet providers face ongoing delays and distrust, highlighting the gap between promises and reality.

CareCredit webinar explores strategies that can help health care teams be more comfortable having financial conversations with patients.

Analysis of more than 17,000 privately insured adults finds significant declines in out-of-pocket costs, but no relief from high premiums or medical debt.

Patients in value-based care practices were nearly 28% more likely to receive full guideline-directed therapy.