Healthcare Reform

Why one pediatric practice that received over $100,000 in increased payments due to an ACA initiative has to pay the money back.

While the effect of the reform law isn't big for me, I'm seeing patients more aware - and not necessarily happy - about the cost associated with their care.

Only one of five surveyed physicians cites reducing cost of care as a priority when that is every payer's first priority.

Regardless of the Affordable Care Act, the way healthcare is delivered and reimbursed will change. Here are five things physicians should consider.

Many articles describe the benefits of health reform, but look closely and it's clear that problems are mounting for physicians and the healthcare system.

Efforts to enroll uninsured patients in Medicaid will continue throughout the year. Physicians need to look at technology to help.

Retail-based health clinics can help ensure patient access to care as more gain insurance, but they also raise price transparency and reimbursement issues.

Why CMS should do away with hospital-led ACOs, and instead, focus on physician-led ACOs.

Consultant Gail Levy shares nine steps to ensure your practice is orienting new patients efficiently and effectively.

Payers are using deceptive methods to get medical practices to accept low rates and new plans. Don't fall into the trap.

The attention given to CMS' Medicare payment data by the media demonstrates a continued focus on greater transparency at medical practices.

Bundling payments for care episodes is gaining popularity among payers. It is episodic risk-sharing, and it can be risky business for physicians.

Use this sample patient credit card authorization policy to ensure your medical practice is able to collect what it is owed.

The release of Medicare payments to physicians is just another step toward greater financial accountability for all physicians, no matter who reimburses your practice.

The Obama administration’s health insurance enrollment numbers don’t match up to a conservative’s fact check. Who is telling the truth?

Physician Mary Christ expresses skepticism about the expanding roles for nurse practitioners.

All of the complaints voiced by physicians are valid and real, but taking on the role of victim makes matters worse.

Physicians and medical practice staff must be able to differentiate between preventative and diagnostic services in order to avoid a loss in revenue.

Family physician Marlin Gill wrote his congressman looking for help in Washington’s “war on doctors.” His facts are correct, but his reasoning is not.

A strong healthcare ecosystem needs multiple components, with its smallest at the very core.

With the future profitability of physician acquisition still up in the air, hospitals will likely slow their approach.

The 90-day “payment grace period” for exchange insured patients puts physicians at risk for 60 days if patients don't pay their premiums.

More than 5 million Americans have signed up for private health plans through the health insurance exchanges. Is your medical practice feeling the effects?

Each day we learn more about how payers are processing claims. Here's what your medical practice needs to know.

The CBO says tacking a five-year delay to the individual mandate to the SGR fix will result in 13 million more uninsured and cost $138 billion.

Any way you look at it, the hope that individuals will actually buy into the private purchase of health plans seems largely misplaced.

Insurance companies are being sneaky about keeping your money. Here are some of those secrets they'd rather you not know, and what you can do about it.

Primary-care transformation is not just about meeting standards, it requires a fundamental change focused on reducing cost and utilization.

Why one doctor transitioned, how she did it, and how it is paying off.

The year 2014 will be a tipping point for independent medical practices. Make sure your practice is prepared.