Payment Models

Insurance expert discusses trends that could affect patients, and thus a practice’s bottom line.

It’s not just burnout when patient numbers increase but doctors are not allowed adequate time and treatments for them.

Sightview Software's Holly Black, often called a "MIPS Geek Guru," breaks down what's changed in MIPS for 2026 and what practices can still do right now to protect their Medicare revenue.

New EBRI research reveals 6 in 10 patients face rising health care costs and deductibles—driving care delays, billing confusion, and operational challenges for independent practices

MIPS expert Holly Black explains the 2026 rule changes, the rise of MVPs and the practical steps small practices can take now to avoid Medicare penalties.

Stephanie O’Connor joins the show to explain how medical practices can modernize payment systems, reduce fraud and protect revenue without compromising the patient experience.

CMS has awarded first round of money for state health care programs in $50B federal plan.

A new Hint Health survey using the Person-Centered Primary Care Measure shows DPC patients report easy access, strong relationships and high willingness to recommend their physicians.

Christopher Whaley, Ph.D., joins the show to explain how site-neutral payment reform could reshape Medicare reimbursement, hospital consolidation and the future of independent practice.

As consolidation and prices climb, Pacific Research Institute brief says new limits on MSOs could tilt the market further toward hospitals.

Milbank Memorial Fund, Physicians Foundation, Robert Graham Center collaborate on analysis.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

New Medicare payment model aims to take down wasteful spending, but Congress and analysts point out potential problems.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

The CEO of advocacy group Accountable for Health discusses what ACOs found in Medicare’s massive spending on skin substitutes.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

The CEO of advocacy group Accountable for Health discusses what ACOs found in Medicare’s massive spending on skin substitutes.

An advocate discusses how ACOs raised red flags about Medicare spending for skin substitute treatments for patient wounds.

The CEO of advocacy group Accountable for Health discusses what ACOs found in Medicare’s massive spending on skin substitutes.