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.
News|Videos|February 28, 2024
On Capitol Hill: Repeal and replace ACA? Instead, look to Indiana as a model
Author(s)Richard Payerchin
A congressman discusses current health care issues in Washington, D.C.
Advertisement
The Affordable Care Act is the law of the land and has been for some time. Rep. Larry Bucshon, MD (R-Indiana), suggests a reform for it, elimination of federal waivers for Medicaid expansion, and suggests the
Advertisement
Related to this article
It's shared savings season and the check has arrived. Now how do physicians divide it up fairly?
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.
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.
CMS' proposed cuts to physician fees focus on the operating room. For the primary care physicians managing recovery after surgery, the real gap is much larger.
Urban Institute analysis finds 26% of insured adults owe medical debt, with hospitals the largest source
Advertisement
Advertisement
Trending on Medical Economics
1
Russian lab worker's death sparks plague fears; Utah lets AI write first-time prescriptions; FTC warns 24 health systems on hidden prices — Morning Medical Update Weekly Recap
2
How Chicago's first new medical school in nearly a century is training doctors to treat mental and physical health together
3
Why is healthcare spending declining in 2026?
4
Can a safety prompt make AI safer for clinical decisions? Study says yes, partly
5