Denials that surface a week late, a hybrid revenue cycle split across internal staff and outside vendors, and payer contracts multiplying faster than anyone can track them. Veradigm's Aaron Ledbetter breaks down which of those an administrator can fix with better tooling and which still need payer reform.
Jay Bregman of Andel explains how employers are carving high-cost drugs out of the pharmacy benefit, and what happens to a patient's price when the contribution stops.
Shawntea Gordon of Atlas & Perpetua Healthcare Consulting says a cost cut made without benchmarking data is a guess, and the wrong guess costs more than it saves.
Joanne Frederick of Government Market Strategies argues the fix for runaway health care costs turned out worse than the problem it solved.
Staffing shortages, training gaps and insurance verification delays are the front-end problems dragging on patient access, and nearly all of them land on the administrator's desk. Experian Health's chief operating officer breaks down which ones automation can absorb now and which ones still need payer or policy reform.
An outbreak in the news brings a surge of calls before it brings a surge of cases. A Michigan pediatrician on the triage rule, the lab conversation and the reassurance approach that keep a practice from being overwhelmed.
The proposed 2027 Medicare fee schedule shifts payment between specialties and changes same-day billing as MIPS winds down, and MGMA's Anders Gilberg explains what practice leaders should watch before comments close Sept. 14.
Women physicians leave clinical practice 15 years earlier than men, and for practice leaders the retention levers are schedule control, documentation burden and how care time gets paid.
Most physicians know the direct primary care pitch; whether the economics hold up once you're in it is the harder question.
The same low-risk procedure can pay five to 12 times more in a hospital outpatient department than in a physician's office. Three U.S. Women's Health Alliance advocates break down what that gap does to recruiting, referrals and patient choice, and the federal bill aimed at closing it.
As consolidation reshapes the market, health care investment banker Andy Colbert breaks down what an independent practice is really worth and how to weigh private equity, a hospital deal or a management services organization.
As more physicians weigh a move to concierge or hybrid practices, health care attorney Ericka Adler, J.D., breaks down the contract and Medicare traps that can turn a panel-shrinking strategy into a legal problem.
PYA's Tynan Kugler breaks down the four forces pulling physician pay in competing directions, and why getting the underlying compensation model wrong can be expensive and legally complicated to undo.
For the first time in years, physician pay and productivity have split, and a new Medicare efficiency adjustment is about to make 2026 a hard year to benchmark, schedule and recruit.
Two new federal programs are opening Medicare and Medicaid coverage for GLP-1 obesity drugs, and Tracy Zvenyach, Ph.D., M.S., RN, of the Obesity Action Coalition explains what it means for primary care physicians and their patients.
Clinical applications are climbing while hires lag behind, and Trent Cotton of ICIMS says the practices that win top talent are the ones that make hiring fast, personal and transparent.
A new federal rule makes it far cheaper for practices to challenge denied and reduced payments, but Anders Gilberg of MGMA says the harder problem is getting insurers to pay up after physicians win.
The highest offer is rarely the best deal. If you're waiting until you're ready to sell, you've waited too long.
Nearly 40% of Gen Z patients don't have a primary care physician, and Andrea Giamalva, M.D., FAAFP, says urgent care is quietly stepping in to fill the gap.
John Cianca, M.D., FAAPMR, left institutional medicine 22 years ago to build a cash-only solo practice. He says the care he delivers is better for it.
Why medical groups miss budget for reasons that have nothing to do with money, and how finance professionals become strategic advisers.
Two Physicians Foundation experts on why where a patient lives may shape health more than the care received and what physicians can do about it.
Panacea Financial's 2026 survey found that physician financial confidence barely budges across an entire career. The reasons go deeper than income.
Carlos Cardenas, M.D., explains why a CMS request for information may be the biggest opening for physician-owned hospitals since the ACA.
Pediatric neurosurgeon Leon Moores, M.D., makes the case that every physician is already a leader and shares how to guide teams through uncertainty.
Prosper Beyond VBC's Doral Jacobson on why most practices lose negotiations before they even get in the room, and what to do differently.
Lumeris CMO David Carmouche, M.D., says AI's biggest opportunity in primary care is giving physicians back the time to actually practice medicine.
Skillsoft's Asha Palmer, J.D., explains why banning AI doesn't stop staff from using it and what practical governance looks like for small practices.
GeoVax CEO David Dodd says the U.S. vaccine system isn't broken, but it badly needs better communication, clearer processes and more listening.
Erica Rowe Urquhart, M.D., Ph.D., MBA, joins Melissa Lucarelli, M.D., FAAFP, for a candid talk about what's working against physicians and patients.
