Improve Payer Collaboration

Practices can often feel helpless when it comes to working with payers. Here's how they can change that dynamic and become empowered.

Payers

Practice Rounds: Anthem, Cigna Sniping at Each Other

Gabriel Perna

September 23, 2016 | Payers, Healthcare Reform, Mentoring, Patients, Technology

By Gabriel Perna

As Anthem and Cigna aim to merge, reports say the two companies have been sniping at each other. Also, are fitness trackers effective in weight loss?

Inbox: Higher Deductibles Cramp Physicians, Patients

Erica Sprey

September 21, 2016 | Healthcare Reform, EHR, Overhead, Payers, Physician Compensation

By Erica Sprey

In our recurring blog "Inbox" we share comments from physicians and practice administrators telling us what keeps them awake at night.

The Problem with Team-Based Care

Jennifer Frank, MD

September 20, 2016 | Healthcare Reform, Patients, Payers, Practice Models

By Jennifer Frank, MD

In an era of delivery and payment reform, with an imbalance of costs and savings in care, there are complex challenges behind team-based care.

Well-Child Exams and Payer Rules

Terence Redmond McAllister, MD

Leann DiDomenico McAllister

Blog | September 19, 2016 | Operations, Patient Relations, Payers

By Terence Redmond McAllister, MD and Leann DiDomenico McAllister

Scheduling well-child exams in our practice has become a study in complexity, as we try to accommodate both payers and parents.

The Rising Cost of Patient Care

Erica Sprey

September 14, 2016 | Great American Physician Survey, Healthcare Reform, Patients, Payers, Physician Compensation

By Erica Sprey

Physicians are becoming increasingly alarmed about the meteoric rise in costs to provide healthcare to their patients.

Small Practice Bears Larger Load for Healthcare Costs

Erica Sprey

September 13, 2016 | Great American Physician Survey, Healthcare Reform, Payers, Physician Compensation

By Erica Sprey

Rising patient deductibles and cost sharing not only hurts patients, but also can put pressures on medical practices to manage their revenue cycle.

The Necessity of Physicians Banding Together

P.J. Cloud-Moulds

Blog | September 03, 2016 | Healthcare Reform, Payers, Physician Compensation

By P.J. Cloud-Moulds

With so many clinical restrictions in healthcare right now, physicians and their medical expertise might just become redundant unless something is done.

Pages

Videos
Slideshows

Three Payer Contract Negotiation Strategies
Keith L. Martin
April 13, 2015 | Payers, Contracts, Medical Billing & Collections, Patients, Physician Compensation
By Keith L. Martin
Have an upcoming contract negotiation with a payer? Let Marcia Brauchler give you three key strategies before you sit down at the table.
Medical Billing and Collections Quiz
January 30, 2015 | Medical Billing & Collections, Coding, Denials, Payers, Physician Compensation, Revenue Cycle Management
Test your patient collections knowledge with our interactive quiz, featuring claims and denial data from RemitDATA from the fourth quarter of 2014.
ICD-10 Preparation: 3 Tips for Early 2015
Keith L. Martin
November 28, 2014 | ICD-10, Coding, Payers, Staff, Training
By Keith L. Martin
With the ICD-10 transition on the horizon, medical practices need to start preparing. Here are three tips to start with when the calendar flips to 2015.
Health Insurance Exchanges and Your Practice
Keith L. Martin
November 19, 2014 | Healthcare Reform, Medical Billing & Collections, Patients, Payers
By Keith L. Martin
Anders Gilberg of the MGMA discusses your practice's obligation to accept federal or state exchange plans and how to manage them properly.

8 Patient Collection Mistakes to Avoid
Erica Sprey
July 25, 2016 | Medical Billing & Collections, Patient Relations, Payers, Revenue Cycle Management
By Erica Sprey
Medical practices are struggling to collect patient accounts while honoring payer contracts. Here's what not to do.
Providers Share Frustrating Payer Experiences
Gabriel Perna
February 22, 2016 | Payers, Medical Billing & Collections, Operations, Physician Compensation
By Gabriel Perna
Most providers can probably share "war stories" over frustrating experiences they've had with a payer. Here are a few we've accumulated.
2015 Fee Schedule Survey Results
February 08, 2016 | Fee Schedule Survey, Payers, Physician Compensation, Revenue Cycle Management
Here are the complete results of our 2015 Fee Schedule Survey, featuring more than 2,500 respondents across the country.
Physicians, Administrators Share 2016 Resolutions
Gabriel Perna
November 30, 2015 | Work/Life Balance, Operations, Payers, Performance, Staff
By Gabriel Perna
We asked physicians and administrators what their resolutions were for 2016, either personal or professional. Here's what they said.

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