Practice Finance

Peterson Health Technology Institute's Caroline Pearson explains why payment models — not the technology itself — will decide whether AI lowers costs for physicians and patients.

Concierge and direct primary care sites grew 83.1% in five years, and direct primary care starts 2026 with a federal tax break it did not have before.

Payment models should reflect not just the theoretical value of services rendered, but the practical realities of how healthcare is financed and paid for today.

Big groups clean up in independent dispute resolution, but little, if any, goes to primary care.

Dolly Parton, who died Aug. 25, 2026, at 80, funded research at Vanderbilt, a women's health center in her home county and the Knoxville children's hospital that bears her name.

Two-thirds of physicians expect AI fluency to boost their earnings, according to Doximity's 2026 physician compensation report. Liability, reimbursement and a contested new JAMA paper all sit between that expectation and a bigger paycheck.

As technology and services advance, practice owners have more options than ever to thrive.

CEO Casey Pittock says CMS's proposed CY2027 Physician Fee Schedule could bar third-party clinical staff from billing for remote monitoring services.

Sage Growth Partners CEO Dan D'Orazio explains why fee-for-service incentives, disparate data and misaligned financial models — not a lack of technology — are keeping value-based care from taking hold.

Physicians have questions about capitation. Here's what it means for your practice.

A 2024 policy shift is forcing practices to wait on claims adjudication before billing — and the delay is eroding collections and straining independent practices

Physicians head into this back-to-school season with more than one immunization schedule in circulation, rising exemption rates and new counseling codes that payers are covering unevenly.

A physician's FAQ guide to Medicare's visit-complexity add-on code

Advanced practice providers have moved from stopgap to permanent staff, and physicians are absorbing the change in patient acuity, productivity benchmarks and rural coverage.

Is the physician practice roll-up industry dead or humming along? The answer depends on the sector, specialty and platform.

WalletHub ranked all 50 states and the District of Columbia on 44 measures of cost, access and outcomes.

WalletHub ranked all 50 states and the District of Columbia on 44 measures of cost, access and outcomes.

Structural financial incentives explain why value-based care has stalled — even as new data and payer-provider strategies show where the model is already working.

Clinics and physician practices accounted for almost 30% of health care Chapter 11 filings in the first half of 2026, the one subsector climbing while the rest trended flat or down, according to a new Gibbins Advisors report.

Medicare rates, prior authorization, telehealth and Medicaid coverage all change between Sept. 14, 2026, and Jan. 1, 2028.

Why value-based care requires AI that tells clinicians not just who is at risk, but which interventions are most likely to change outcomes.

Overhead swallows roughly 60% of the typical practice's revenue, and most of it sits in a few line items. These nine moves pull real money off that number without touching the exam room — and the biggest lever is the one most owners are slowest to open.

The 2026 Medicare Advantage raise is a pause, not a trend. When rates tighten in 2027, these basics will separate a shared savings check from a shortfall.

Health policy veteran and "Zen Lobbyist" author Gary Jacobs argues that the payment system, not the insurers, is behind a second straight year of double-digit ACA premium increases, and that primary care-led risk is the only durable fix.

Fax machines are gone from billing. Prior authorization and clinical communication are still stuck in 1985.