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Prior auth got a federal clock in 2026. Practices say it got slower.Trending on Physicians Practice
10 FY 2027 ICD-10 changes that will bounce your claims on Oct. 1
Prior auth got a federal clock in 2026. Practices say it got slower.
How to comment on Medicare's 2027 pay proposal by Sept. 14
Gloria Steinem and the changing face of medicine
9 fixes for the practice problems driving physicians out the door
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Why banning corporate medicine won't save independent practice, with Wayne Winegarden, Ph.D., of the Pacific Research Institute
Health care economist Wayne Winegarden, Ph.D., says state bans on corporate ownership won't keep a practice independent, and that control over decision-making is what separates an MSO partnership from an acquisition.

The first thing to do after a medical error, with Anthony Orsini, D.O.
Most practices have no protocol for the hour after a medical error, and Anthony Orsini, D.O., says that gap is what turns a minor mistake into a lost patient and sometimes a claim.

The interchangeable physician, with Lawrence Casalino, M.D.
A former MedPAC commissioner argues that whether clinicians feel like professionals or like interchangeable parts decides the quality of everything a measurement program cannot see.

Why physicians are getting sued less and paying more, with The Doctors Company President Robert White
Flat malpractice premiums are masking a severity trend running well ahead of inflation, and the cushion holding rates down is running out.

Why private equity can own a hospital and a physician can't, with Gary Price, M.D., of The Physicians Foundation
The rules on who can own a hospital are shaping consolidation in local markets, and the evidence behind them hasn't held up.

Vaccine schedules, stocking costs and the back-to-school visit, with AAFP President Sarah Nosal, M.D.
Vaccine inventory is getting more expensive, the counseling time around it is not reimbursed, and the practices that stop stocking lose more than the margin.

A year after the prior authorization pledge, what changed? with Colin Banas, M.D., of DrFirst
The insurer pledge on prior authorization carried no enforcement. The federal rule arriving Jan. 1, 2027 does, and it lands on payers, on EHR vendors and, through a new attestation measure, on practices themselves.

What's really keeping practices independent, with Aaron Ledbetter of Veradigm
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.

Cutting the PBM out of your patient's GLP-1, with Jay Bregman of Andel
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.

Most practices cut the wrong thing first, with Shawntea Gordon of Atlas & Perpetua Healthcare Consulting
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.
Videos
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Medicare's comment window on the 2027 fee schedule closes Sept. 14. Here is how to file one that CMS will actually read.

Neil Baum, M.D., on how Gloria Steinem and the women's movement reshaped who becomes a doctor, and the work medicine still has left to do.

Medicaid work requirements hit the front desk Jan. 1, 2027. What changes at check-in, in billing and when coverage lapses mid-treatment.

Neil Baum, MD, on why hydration belongs in preventive care for older patients, and the questions that find who is at risk.

You do not need a budget line to thank the people who held the schedule together this summer. Twelve ideas for Labor Day, most of them free.

Nearly 150 medical groups want CMS to fix same-day E/M overlap code by code instead of cutting payment 50 percent.

One line in a payer contract just cut 40% of a Hawaii clinic's panel.

Comments on Medicare's CY 2027 pay rule close Sept. 14. These 10 proposals will cost practices the most if they are finalized as written.

Portal messages jumped 153 percent in five years while visits went up too. Eleven ways to get the inbox back under control.

The comment window closes Sept. 14, and the same rule already previews what a coding transition looks like operationally.

CMS blocked $1.6 billion in suspect lab payments, and new rates land Jan. 1. Ten checks to run on your in-office lab first.

Most practices owing back wages never meant to. Here are the everyday pay habits that draw federal investigators and plaintiff lawyers.

Patients accept AI scribes when the conversation is handled right. What the evidence shows, plus a sample consent form.

Retirement planning is not an exit strategy. Here are the four ways physicians leave a practice and what determines which stay open to you.

HIPAA treats paid third-party access to patient records as marketing. Without a separate signed authorization, it can carry criminal penalties.

Texas SB 1318 applies to noncompetes entered or renewed after Sept. 1, 2025. The statute never defines renewal, and that is the problem.

Florida has no corporate practice of medicine doctrine and skipped the 2026 wave of transaction-review bills. What's left is the Health Care Clinic Act, a fee-splitting statute and whatever the management agreement says.

Recent changes to medical laws in the Land of Lincoln.

The AMA is pressing CMS to withdraw a proposed 50 percent cut for office visits billed the same day as a procedure.

Federal fraud flags start with peer comparison, and the first consequence is a payment hold. Here's what you need to check in your own claims data.

Fax is still the default in most practices. Here is how to retire the lines one workflow at a time, without breaking your referral pipeline.

A year after the insurer pledge, DrFirst CMO Colin Banas grades the six promises and names the Jan. 1, 2027 breaking point.

Texting is the highest-response channel in your practice and the least governed. Here are 13 rules before the FCC's 2027 deadline.

Pilot new workflows and technology with a handful of physicians first. Beta testing surfaces the problems before they get expensive.

Before buying another dashboard, run the eight reports your practice management system already generates.

Medicare wants to pay half for the lesser service on same-day claims. Our new handbook works out what modifier 25 encounters stand to lose.

Staff are pasting patient information into chatbots no one approved. Nine steps to pull that use into the open, and into compliance.

CMS's interoperability pledge just turned a year old, and the FHIR criteria are live. Here's what to ask your EHR vendor now.

More than 400 revenue cycle leaders told Inovalon which workflows send their claims back. The ranking reads as a to-do list for whoever owns the front end of the practice.

Patients size up your practice before they ever call. Eight fixes for the tools they hit first.

How to prepare for when AI changes interactions with patients, staff and vendors

Medicare starts scoring heart failure and low back pain specialists Jan. 1. There is no opt-out, and 9 percent of Part B pay rides on it.

AI scribes reached exam rooms faster than the policies meant to govern them. Nine controls for a tool your practice already runs.





















