Leann DiDomenico McAllister

Economic opportunity, a busy international airport, and a warm climate are fueling our move from Massachusetts to Sin City, and from owner to employed.

Here's why practices like ours can't thrive in this new environment. MGMA has the data to back it up.

To fall in line with its IPA, this practice is reluctantly switching its EHR system. Here's why they aren't happy about it.

There is a precedent happening in pediatrics as helicopter parents and overbearing daycare centers have created a sharp increase in "doctor's notes."

An administrative director reflects on the many emotions of collecting money from payers and patients in today's healthcare climate.

A practice is discovering that the universal truth around HIPAA compliance is there is no universal truth. Every scenario is different.

The current state of our relationship is an illogical, Kafkaesque nightmare with a deadbeat. Yes, we're talking about you, payers.

Are you hearing the same tired clichés in presentations and meetings? Remove the noise from your life and push back.

Many issues feel overwhelming when confronted in an isolated office, which is why joining a medical society with like-minded folks can be empowering.

A pediatric roundtable at MGMA16 led to the realization that there's wisdom in identifying the industry forces that we cannot change.

The Triple Aim has created immense pressure to integrate the care we provide into the larger healthcare system, at great cost to our practice.

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

Their practice was founded on the principle of affordable care for patients, while providing a good living for its owners. Now that dream is fading.

Patient can be irate when it comes to higher than expected bills. This practice found the best way to address the issue is to be frank.

Certainly physicians want to be responsive to their patients. But they shouldn't provide 24/7 "on-demand" services like Amazon.

This pediatric micro-practice was hit particularly hard by state cuts and is considering eliminating lower-paying Medicaid patients from the practice.

We believe it is the role of physicians to look beyond the walls of their office and have an influence on the health of their communities.

Sometimes the best way to diffuse anxiety and fear, for both physicians and patients, is humor.

It is vital for physicians to break out of their individual silos of expertise and network with their peers and colleagues.

Providing patients with too many options may not help them at all. Without adequate resources to make well-informed decisions, they may just feel angry.

Unconventional choices in the past steered us to success in the present. But it’s the future that's looking murky for our independent practice.

Physicians are good at lots of things, but solving the issues of poverty isn't one of them.

From 7 a.m. grand rounds to in-person meetings that should be conference calls, we're going beyond just saying "no." We are declaring our independence.

A change in coding for behavioral screenings illustrates how payer payment policies negate any big-data promises of ICD-10.

One of our payer quality metrics is more like student standardized testing - the intent is good, but the result is a poor indicator of true success.

Our pediatric practice has a new policy: no more medical excuse notes. Here's why we did it and how we let everyone know about our new stance.

For us, the health insurance companies represent a huge problem. We believe the solution is single payer, and we’re doing something about it.

One of our patients recently died of a heroin overdose. Could we have seen this coming? What can we do now to help his family?

We accept patients whose parents refuse to vaccinate them into our practice, but it's not an easy road, and it's not an easy decision.

Eight years after opening their medical practice, a physician and administrator spouse team reflects on what makes them successful.