Practice Management

Insurers pledged six fixes to prior authorization in June 2025. A year later, only 24% of physicians say denials are getting the specialty-matched review that was promised first.

AMA says new guidance from CMS closed gaps documented in health plans' public prior authorization disclosures, but the work isn't finished.

Inovalon surveyed more than 370 revenue cycle leaders in February 2026 about how prior authorization actually runs inside their organizations. The numbers say the process has barely modernized.

A physician recruitment leader discusses what keeps doctors working happily in practices and health care organizations.

When ChatGPT names an independent practice, the words describing it usually come from sources the practice doesn’t control.

The BP Go device measures blood pressure through the finger instead of a traditional arm cuff, and Wellvii says the clearance supports its push into remote patient monitoring.

Is your recruiting working? Trent Cotton explains the 3 data points that will tell you whether you are winning or losing the recruiting game.

Seventy-nine percent of independent practice leaders say technology is what keeps them independent. Only 64% trust the tools they already have. Veradigm's Aaron Ledbetter explains what sits inside that gap, and why a denied claim still takes one to two weeks to reach the physician it belongs to.

The top news stories in medicine this week.

A third straight year of survey data shows patient standards transforming into hard filters — and increasingly, it's AI doing the filtering.

The clinical data to identify mismatched coverage — and fix it before it becomes bad debt — is already sitting in your EHR.

A physician forecasts the effects of artificial intelligence as Medicare sets new rules starting next year.

Jay Bregman of Andel says direct-to-employer purchasing takes prior authorization out of the prescription entirely, but the price a patient gets is tied to an employer's willingness to keep paying.

Three in four patients now refuse to book with a provider rated below 4 stars

The order sorts childhood immunizations into three categories, calls for separate visits and points the attorney general at state exemption laws.

Patients read normalizing language as a signal that treatment isn't recommended, new research finds.

Staffing at medical practices has become one of the biggest challenges they face. Dina Taylor explains why.

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.

The top news stories in medicine this week.

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.

Joanne Frederick of Government Market Strategies argues the fix for runaway health care costs turned out worse than the problem it solved.

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.