A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
|Slideshows|June 15, 2018
- June 25, 2018 edition
- Volume 95
- Issue 12
2018 Payer Scorecard
For the second year, Medical Economics has polled doctors to get to the heart of the payer-physician disconnect.
Advertisement
Articles in this issue
over 5 years ago
Emergency preparedness strategies for physiciansover 8 years ago
2018 Payer Scorecard: Physicians speak outover 8 years ago
Funny Bone: Secret decoder ringover 8 years ago
How to ensure correct reimbursement from payersover 8 years ago
How to manage staff time offover 8 years ago
Leasing vs. buying medical office spaceover 8 years ago
Missed appointments and late arrivals: Who to bill and whenover 8 years ago
Lessons from the Las Vegas shootingover 8 years ago
Driving change in medicineover 8 years ago
Your voice: Physicians shouldn't be saddled with 'lousy EHRs'Advertisement
Related to this article
Recent CMS rule changes reinforce that operational discipline is increasingly shaping reimbursement
Medical Economics spoke with Monique Delgado, former CEO of Integrated Medical Services, about where salary-only pay falls short, which metrics to tie incentives to and how to change physician pay without eroding trust.
Coding scrutiny, payment gaps and a push for price caps show up across Trilliant Health's annual look at where U.S. health care is headed.
Trilliant Health's annual trends report traces primary care shortages, payment gaps and looming price caps to incentives no single stakeholder has reason to fix.
It's not a patient problem, it's an operations problem, and large practices and health systems need to treat it that way.
HHS finalizes price transparency updates as employers push insurance vendors to open the books.
EBRI data show employer plans pay hospital outpatient departments about twice what physician offices receive for the same physician-administered drugs, and the commercial market has barely begun to address the gap.
Advertisement
Advertisement
Trending on Medical Economics
1
Less paperwork, better teams: AMA honors 92 health organizations for fighting physician burnout
2
10 biggest takeaways for physicians from MGMA's 100th annual conference
3
Michigan physician convicted in massive telehealth stimulant case; fewer ED visits, higher admission rates after L.A. immigration sweeps; experimental drug restores vision, movement in MS mice — Morning Medical Update
4
10 ways health care is working against physicians
5