Payers

With ACA premiums set to spike in 2026 and patients facing dramatically higher out-of-pocket costs, here are five strategies providers can implement now to protect revenue, improve collections and stay ahead of the coming financial storm.

These negotiation strategies ensure fair contracts and improved revenue for medical practices.

The Medical Group Management Association (MGMA) is backing the bipartisan Safe Step Act (H.R. 5509), legislation that would reform step-therapy requirements and ease prior authorization burdens on medical practices.

These six effective strategies to streamline revenue cycles, reduce accounts-receivable days and enhance efficiency in independent medical practices.

Physicians navigate challenging payer negotiations, sharing success stories of securing approvals for innovative, cost-effective treatments.

Step therapy protocols not only delays necessary treatment but can lead to adverse reactions that ultimately increase rather than lower health care costs.

What payers need to do to improve relationships with practices.

The verdict is in for how practice's feel about their payers, and it isn't good.

The crux of payer-provider collaboration lies in alignment.

Consider the puffer fish

Here are 11 ways you can, and should, engage in grassroots advocacy for your practice, your patients and yourself.

It’s clear the state of PA must change. Artificial intelligence has a role in streamlining administrative tasks.

Negotiating your payer contracts is the ticket to the money you deserve.

Payers are seeking to eliminate payments for care they deem unnecessary.

These tips can make your next payer negotiation a bit more of a breeze.

Consider these strategies to negotiate favorable payer contracts.

They cost you a lot more than you think.

If you are in a membership medicine model, is working with payers the right way to go?

Follow these tips to turbocharge the claims process.

A compliance program is important in this day-and-age, thanks to increasing amounts of healthcare fraud as well as payment reform.

To avoid potential conflict, patients should be provided advance notice of your policy to avoid surprise and embarrassment.

A fast and cost-efficient way to inform people about what they owe.

Advanced, user-friendly artificial intelligence (AI) solutions can save clinics $7 billion each year

Unfortunately for physicians, payers continue to demand prior authorization for more care items.

It’s not uncommon for private practices to receive rates far below Medicare standards.