What are the benefits to the patient under a prospective payment model?

Experian Health's State of Claims survey finds 40% of providers have at least 10% of their claims denied, and only 30% recover most of that lost revenue.

Payer enrollment rarely lines up with a new physician’s first day. A week-by-week plan helps practices avoid a revenue gap, handle pending claims and know when the schedule can safely open.

Control of Congress, 30 governorships in Medicaid work-requirement states and eight statewide health care measures were on Tuesday's ballot. Here is what each one would change for physicians and their patients.

Only 22 of the articles in a Georgetown scoping review defined health equity, a gap the lead author said could steer resources toward the most advantaged groups.

Primary Care Collaborative leads first major study of uptake of new Advanced Primary Care Management codes.

About 1 in 3 U.S. adults avoid or delay blood tests, leaving physicians without results that inform most clinical decisions. Here's how easier scheduling, less-invasive collection options and clearer results communication can help patients complete ordered testing.

The top news stories in medicine today: At least 125 health professionals are on today's ballots as California votes on a clinic spending rule; a California doctor gets 15 years for $45 million in Medicare Botox billing; Medicare's prior authorization pilot curbs targeted services.

After private equity firms bought for-profit hospices, Medicare paid $993 more per hospice encounter and stays ran 6.3 days longer, with no increase in visits.