Practice Finance

Payment models should reflect not just the theoretical value of services rendered, but the practical realities of how healthcare is financed and paid for today.

Big groups clean up in independent dispute resolution, but little, if any, goes to primary care.

Dolly Parton, who died Aug. 25, 2026, at 80, funded research at Vanderbilt, a women's health center in her home county and the Knoxville children's hospital that bears her name.

Two-thirds of physicians expect AI fluency to boost their earnings, according to Doximity's 2026 physician compensation report. Liability, reimbursement and a contested new JAMA paper all sit between that expectation and a bigger paycheck.

As technology and services advance, practice owners have more options than ever to thrive.

Three counseling codes took effect Jan. 1 for vaccine visits that end without a shot. CMS will not pay for them and neither will most private payers.

CEO Casey Pittock says CMS's proposed CY2027 Physician Fee Schedule could bar third-party clinical staff from billing for remote monitoring services.

Sage Growth Partners CEO Dan D'Orazio explains why fee-for-service incentives, disparate data and misaligned financial models — not a lack of technology — are keeping value-based care from taking hold.

Physicians have questions about capitation. Here's what it means for your practice.

A 2024 policy shift is forcing practices to wait on claims adjudication before billing — and the delay is eroding collections and straining independent practices

Shawntea Gordon of Atlas & Perpetua Healthcare Consulting says the cost most practices cut first is usually the one that was never the problem.

AAFP President Sarah C. Nosal, M.D., says family physicians should work from the academy's vaccine schedule and that the counseling required to explain it is time practices aren't paid for.

Physicians head into this back-to-school season with more than one immunization schedule in circulation, rising exemption rates and new counseling codes that payers are covering unevenly.

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.

Two episodes of “The Back Office” break down how charges get set, how Medicare pays and why gross collection percentage misleads.

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.

Gary Jacobs argues the payment system is what makes small practices unsustainable, and that the physicians who wait it out usually end up selling to a hospital rather than choosing their own exit.

A national survey of 465 direct primary care physicians upends the $77-per-month benchmark and much of what the model was assumed to look like.

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

Dan D'Orazio of Sage Growth Partners says there are just too many obstacles for the American health system to fully embrace value-based care