Premiums are climbing far faster than physician pay. Here's how independent practices can build the case for higher payer reimbursement rates.

The 2026-2027 respiratory season is just about here. There’s still time to vaccinate patients, experts say.

Humana and athenahealth just took electronic prior authorization nationwide. Here's what to ask your own EHR vendor before payer APIs go live Jan. 1.

The Fifth Circuit revived a Meta Pixel class action against Eyemart, finding IIHI covers far more than prescription data. Here's why it matters.

Democrats won Congress, but the Jan. 1 Medicaid work rules still stand. Here's how to budget your 2027 payer mix around what changed and what didn't.

'Not covered' is now the top denial reason, and UnitedHealthcare's pediatric code lists don't match. Run these checks before Dec. 1.

The 2nd and 5th circuits won't let providers sue over unpaid IDR awards. Here are the routes left and how to reserve for money that may never come.

WISeR cut targeted services 15 to 20 percent in six states. These fixes protect your volume, your claims and your patients' place in line.