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Downcoding, electronic prior authorization and Medicaid work requirements: What practice leaders should watch in 2027
A simple physician retention tool: 'How can I support you?'
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An IDR win isn't a check. Payers have 30 days to pay, courts won't force them to and CMS admits awards are slipping through.

A Utah program allows Nolla Health's AI to prescribe acne treatment within physician-approved limits. Physician review scales back as more patients enroll.

Madison Hynes of MGMA explained what practice leaders should watch as electronic prior authorization and Medicaid work requirements arrive Jan. 1.

One billing vendor's breach reached 626,540 patients. Here's how to limit what outside companies can see in your EHR and how fast they must tell you.

A third of family physicians still spend three-plus hours a day in the EHR after clinic. These fixes pull that work back into the workday.

Don't 'throw everything at it' before examining reasons why patients don't arrive for treatments.

Health care attorney Tatiana Melnik, J.D., says practices adopting artificial intelligence tools should reread their vendor contracts, train staff every week and plan for patients who decline an AI scribe.

Patients are leaving practices without a word. Dan D’Orazio of Sage Growth Partners explains how better access and communication rebuild trust.

Neil Baum, MD, borrows a technique from acting teacher Uta Hagen: nine questions to ask yourself before you open the exam room door.

Medicaid work requirements, new remote monitoring rules and an electronic prior authorization deadline all land Jan. 1, and that's only part of what MGMA told practice leaders to watch.

MGMA's Anders Gilberg says few practices have heard from EHR vendors about the Jan. 1 prior authorization API deadline.

New ICD-10 codes, NCCI edits and Medicaid eligibility limits all took effect Oct. 1. Here's what practices should check this week.

Six national physician organizations warned that claims of AI superiority undermine patient trust, putting new attention on how practices set rules for AI use by clinicians and staff.

Texas laws on offshore records, AI disclosure, portal holds and gold cards are all in force now. Six checks worth an afternoon.

MGMA's Andy Swanson on longer primary care waits, APP hiring, staff raises that fall short and the one number to benchmark in 2027.

Adding physicians, locations or services can strengthen a practice, but only when owners first define what growth is supposed to accomplish.

Hold times, delayed approvals and denials on authorized care dominated member feedback to MGMA's government affairs team.

Seema Verma describes state of AI deployment in medical practices for MGMA.

A spreadsheet and the question ‘why?’ are enough to get started, an expert says.

he former INXS frontman paired trust, connection, adaptability, focus, authenticity and collaboration with the bands he says model them, then had the ballroom help finish an original song.

Akash Madiah said work is underway on the local engagement, education and digital improvements members requested, and MGMA recognized its 2026 honorees, including Lifetime Achievement recipient Tracy Bird.

MGMA is pushing back on any delay as insurers describe a three-step build.

A roadmap for practice profitability as expenses climb and revenue stays flat
A longtime MGMA analyst outlines the first area of focus to become a top performer.

MGMA's government affairs team walked through the fee schedule, MIPS, value-based care, Medicaid, Medicare Advantage and the year-end spending fight.

Experience is one of medicine's most valuable resources. Neil Baum, MD, argues physicians should be judged on competence, not age.

Three big payers are moving to shared credentialing through CertifyOS. What it could fix for practices and what it leaves on your desk.

A $20.5 million CVS settlement over web tracking shows how AI and data tracking without patient consent invite lawsuits and enforcement.

Career ladders, pay tied to specific skills and reviews held on a single date can help practices hold on to medical assistants and front-desk staff, according to BackPocket Talent's Rachel Brace and Nicole Hart.

About 34 percent of medical groups have built their own tools with AI. Check HIPAA, code ownership and insurance before yours goes live.

Pew found 72 percent of adults want to know when AI touches their care. Only 16 percent say a doctor has ever told them.

CMS dropped 760,000 marketplace enrollees in a fraud sweep. Real-time eligibility checks keep the fallout from turning into denials.

Florida's proposed school vaccine rule also rewrites DH 680, DH 681 and the Florida SHOTS forms and provider agreements.

Traditional MIPS would end after 2028 under a CMS proposal. Practices that want an MVP for 2026 must register by Nov. 30 at 8 p.m. EST.































