Financial Management

Latest Headlines

Latest Headlines

Prior authorizations may become less painful in value-based market

When it comes to practice-management headaches, the hassle involved in obtaining prior authorizations from insurers often leads the list of complaints. And while many elements of fee-for-service reimbursement structures will begin to disappear as the industry moves toward value-based care, this most-disliked task won't be one of them, according to a recent article from  Managed Healthcare Executive.

Returning to private practice? 3 keys to success

​At a time when physicians are increasingly forgoing independence to become employed by hospitals or health systems, some doctors have become so dissatisfied with working for others that they've decided to return to private practice.

Second-year Pioneer ACO results 'encouraging'

Accountable care organizations aligned with Medicare's Pioneer ACO program saw smaller increases in Medicare spending compared to general Medicare fee-for-service beneficiaries in the Pioneer program's second year, according to a study published in the  Journal of the American Medical Association.

6 steps to keep cash from walking away

When the subject of embezzlement at physician practices comes up, often the focus is on elaborate schemes, misused credit or forgery. But while major cases tend to make headlines--such as the $1 million theft chronicled in a recent article from community newspaper  Highlands Today--lax cash-handling policies are far more widespread and can put virtually any practice at risk.

Concentrated concierge practices: Too much of a good thing?

Concierge medicine, while growing modestly overall, is becoming more predominant in certain pockets of the country. But despite reports that the model produces high satisfaction for all involved, a high concentration of retainer-based practices represents challenges for patients and physicians.

Health insurers now cover most retail clinic visits

In the past, patients often paid out-of-pocket to visit retail health clinics, but many can now use their insurance coverage to pay for services. In fact, more than four in five visits to retail clinics operated by CVS and Walgreens are covered by insurance.

MIPS or APM: Which is better for your practice?

Now that the Sustainable Growth Rate is no more, practices must choose one of two paths for reimbursement going forward. 

Alternative pay models drive teamwork, care coordination

Although challenges remain, physician practices transitioning to value-based reimbursement systems see positive results on many fronts, according to a new study from the RAND Corporation, sponsored by the American Medical Association.

How to cut practice payroll without losing muscle

Despite signs of a recovering U.S. economy, medical practices must still try to accomplish more work with fewer resources. But beware of stretching your staff too thin. 

How investing in members' health helped Southcoast Health cut costs

Healthcare organizations that struggle to reach the lofty goals of the Triple Aim--better health, better patient experience and lower costs--may want to take note of how one non-profit health system successfully overhauled its costly employee health plan, according to a new white paper.