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Norman K. “Kip” Beals, MD, is executive director of primary care for Independence Health System in western Pennsylvania. He is board certified in family medicine and sports medicine. A physician practicing for 35 years, Beals has worked in independent practice and as a physician leader and chief innovation officer for health systems.

Beals joins the show to discuss the evolving landscape of health care reimbursement, including Medicare cuts, mounting financial pressures on practices, and their impact on physician burnout.

private equity and hospital consolidation

For more, be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know.


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Editor's note: Episode timestamps and transcript produced using AI tools.

Introduction to Healthcare Reimbursement (00:00:22)


Overview of the podcast and discussion topics, including Medicare cuts and financial pressures.

Physicians' Awareness of Medicare Cuts (00:01:04)


Dr. Beals discusses how physicians typically learn about Medicare reimbursement cuts through news rather than direct communication.

Reactions to Reimbursement Cuts (00:03:12)


Physicians often feel a mix of frustration and resignation regarding ongoing cuts to reimbursements.


Discussion on the alarming statistic of physician burnout and its impact on healthcare practices.

Business Training in Medical Education (00:07:08)


Dr. Beals highlights the lack of business training for physicians during medical school.

Strategies for Increasing Revenue or Cutting Expenses (00:09:32)


Exploration of how physicians can approach financial challenges in their practices.


Emphasis on the need for intense collaboration among healthcare providers to improve efficiency.

Lessons from the COVID-19 Pandemic (00:13:30)


Reflections on how the pandemic has forced healthcare practices to adapt and become leaner.

Innovative Approaches in Healthcare (00:15:42)


Discussion on using technology and innovative thinking to enhance healthcare delivery.


Dr. Beals shares the importance of understanding community needs for effective healthcare solutions.

Practical Examples of Community Engagement (00:19:10)


Examples of initiatives aimed at addressing barriers to healthcare access in rural areas.

Population Health and Cost Efficiency (00:22:40)


Discussion on improving healthcare outcomes and reducing costs through efficient disease management and early problem detection.

Government Cuts and Innovation (00:23:41)


Impact of potential Medicare cuts on driving innovation and finding better healthcare solutions.


Encouragement for patients to seek care from primary care providers for efficient and comprehensive healthcare.

Collaboration in Healthcare Leadership (00:26:59)


Advocacy for collaboration between clinical and administrative leaders to enhance patient care and community health outcomes.


Expression of appreciation for the conversation and acknowledgment of the importance of continued dialogue.

Podcasts

Norman K. "Kip" Beals III, MD, joins the show to discuss the evolving landscape of health care reimbursement — and how physicians can weather the storm.

Ep. 54: Medicare cuts and physician challenges with Norman K. "Kip" Beals III, MD

Medical Economics Managing Editor Todd Shryock sits down with Scott Dewey, chief managed care officer at PayrHealth, about the best strategies for payer negotiations.

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Overview of the podcast and introduction of the speakers discussing payer negotiations.

Starting Preparation for Negotiations (00:01:03)


Importance of having a strategy and understanding leverage before entering negotiations.


Advice on how far in advance physicians should prepare for payer negotiations.

Contract Length Considerations (00:05:11)


Discussion on the pros and cons of long-term versus short-term contracts.

Negotiating Power of Smaller Practices (00:06:47)


Insights on how smaller practices can find leverage against larger payer organizations.

Dealing with Non-Negotiable Contracts (00:08:54)


Advice for practices facing contracts labeled as "not negotiable."

Prior Authorizations in Contracts (00:09:53)


Strategies for negotiating limitations around prior authorization requirements.

Unilateral Amendments in Contracts (00:12:31)


Discussion on the commonality of unilateral contract amendments by payers.


Overview of frequent mistakes made by physicians in contract agreements.


Differences between value-based care contracts and traditional fee-for-service agreements.


Importance of getting all agreements in writing and understanding contract updates.


Wrap-up of the discussion and thanks to the guest for sharing insights.

Scott Dewey, chief managed care officer at PayrHealth, joins the podcast to discuss the best strategies for negotiating with payers.

Ep 39: Negotiating with payers with Scott Dewey, chief managed care officer at PayrHealth

A significant opportunity for cost savings lies within administrative tasks, which often become burdensome and time-consuming.

How digitizing provider payments can slash health care waste

Restoring pay had majority support, but medical associations blast federal budget for ignoring that, jeopardizing patient access.

House proposed budget would not restore Medicare reimbursement cuts to physicians

Reimbursement based on Medicare Economic Index, updated cost data, settings all in play.

MedPAC hammers out recommendation on doctors’ reimbursement in Medicare Physician Fee Schedule

Physicians, pharmacists and artificial intelligence can join to form a cost-effective solution that improves patient outcomes and financial sustainability.

Enhancing primary care: The impact of pharmacist-led chronic care and AI-driven telehealth

Physicians drumming up support to counter 2.83% cut that started in January.

House GOP Doctors Caucus throws support to restoring Medicare reimbursement

The state of primary care: A tale of two cities in American health care

The state of primary care in America is a mix of innovation in value-based payment models and significant access issues, with many communities struggling to receive adequate care. The future outlook is concerning as fewer clinicians are choosing primary care, contributing to a costly health care system that underperforms compared to European nations, said 

Videos

Primary Care Collaborative President and CEO Ann Greiner, MCP, discusses primary care in the U.S. health care system.

The state of primary care: An introduction

 is a coalition of organizations that advances comprehensive primary care. President and CEO Ann Greiner, MCP introduces the organization.

Primary Care Scorecard: An introduction to the Milbank Memorial Fund

Primary Care Scorecard: How it started

Primary Care Scorecard: A surprising finding

Primary Care Scorecard: Medicare undervalues primary care

Primary Care Scorecard: Why primary care is losing physicians

Primary Care Scorecard: Reforming graduate medical education

Primary Care Scorecard: ‘More than enough money’ for good primary care

Primary Care Scorecard: ‘We have to put primary care first’

As the administration of President Donald J. Trump begins its Make American Healthy Again campaign, primary care remains challenged, according to expert researchers.

The Milbank Memorial Fund and The Physicians Foundation published the third 

. Titled “The Health of US Primary Care 2025 Scorecard: The Cost of Neglect,” the study was developed with the Robert Graham Center for Policy Studies in Primary Care.

The scorecard grades primary care across five measures:

In sum: Those areas all need work to improve and expand the nation’s full capacity for primary care.

‘The Cost of Neglect’ is growing, according to the third analysis of the state of primary care.

Reimbursement

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