Ambulatory Care Providers

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Why keeping private practices independent is vital

by Jacqueline LaPointe

What happens when one of the market’s most prominent players comes knocking at your practice’s door? For many physicians in private practices, it means merging with the hospital or health system, whether to stay competitive in...

What Ambulatory Providers Look for in Revenue Cycle Management Vendors

by Victoria Bailey

When outsourcing revenue cycle management services, ambulatory provider organizations want vendors that excel in communicating, have adequate expertise, and can successfully educate clients, a KLAS...

Hospital-Owned Practices Pull Ahead, But Staffing Shortages Ding All

by Jacqueline LaPointe

Hospital-owned practices are faring better than their physician-owned counterparts despite significant revenue challenges last year, according to new data from the Medical Group Management Association...

Site-Neutral Payments Could Threaten Access to Care, Study Suggests

by Jacqueline LaPointe

A new study released by the American Hospital Association (AHA) suggests that site-neutral payments could threaten access to care for some of the most vulnerable patients. Site-neutral payments...

Physicians Slam Fee Schedule Cuts, Call for Medicare Payment Reform

by Jacqueline LaPointe

The American Medical Association (AMA) and other physician advocacy groups are calling on CMS to reverse proposed Medicare Physician Fee Schedule updates, which would slash Medicare payment for...

Physician Compensation Still Hinges on Volume at System-Owned Practices

by Jacqueline LaPointe

Despite a decades-long push toward value-based payment, physician compensation arrangements at health system-owned practices still primarily revolves around the volume of services delivered, according...

Medical Group Revenue Declines Underscore Need for Efficiency

by Sarai Rodriguez

AMGA’s 2021 Medical Group Operations and Finance Survey finds that medical group revenue and expenses fell due to a decrease in volume caused by the COVID-19 pandemic. The survey found that...

How E/M Coding Changes Became an Urgent Problem for a TN Clinic

by Jacqueline LaPointe

The past year has been tough for AFC Urgent Care Memphis, Tennessee. Like most practices, the small urgent care clinic saw patient volume dip dramatically at the start of the COVID-19 pandemic. And like their peers, this all happened...

Top 3 Practice Management Strategies for Ongoing Success

by Jacqueline LaPointe

Physician practices are up against a changing healthcare environment, and one that has made it harder to survive. Declining reimbursement rates, industry consolidation, and new sites of care delivery...

The Good and Bad of the Medicare Physician Fee Schedule Proposal

by Jacqueline LaPointe

Physician groups are calling the Medicare Physician Fee Schedule proposed rule a mixed bag for practices, which now face a potential reduction in physician reimbursement next year, among other...

Physician Practice Acquisitions Accelerated During COVID-19

by Jacqueline LaPointe

Hospitals and corporations now own nearly half of physician practices in the US, underscoring a long-standing trend of physician practice acquisitions by hospitals and other corporate entities, reveals...

“Soft” Consolidation in Medicare ACOs Can Lead to Higher Prices

by Jacqueline LaPointe

Some independent primary care practices joining health system-led Medicare accountable care organizations (ACOs) raised their prices after what researchers called “soft consolidation,”...

Less Than Half of Physicians Work in a Private Practice, AMA Finds

by Jacqueline LaPointe

The shift away from private practice and toward large, hospital-owned practices has accelerated, according to a new analysis from the American Medical Association (AMA). AMA reported that less than...

CT Physicians Accused of “Price Gouging” COVID-19 Tests

by Jacqueline LaPointe

A group of physician practices in Connecticut suing Cigna over COVID-19 reimbursement is actually exploiting a national health emergency by overcharging for COVID-19 tests, the payer recently told a...

Medical Liability Premium Increase Draws Practice Viability Concern

by Hannah Nelson

Medical liability insurance premiums have begun an upwards trend after remaining relatively steady over the past ten years, according to a new American Medical Association (AMA) analysis that...

Physician Practices Want More from Provider Relief Fund

by Jacqueline LaPointe

Future Provider Relief Fund distributions should prioritize allocation to physician practices struggling with the financial consequences of the COVID-19 pandemic, not just hospitals, physician groups...

AMA: Medicare Sequester Threatens Physician Practice Viability

by Jacqueline LaPointe

As Congress gets ready to pass another COVID-19 stimulus package this week, physicians are once again calling on lawmakers to consider extending the moratorium of the Medicare sequester in a bid to...

FTC Announces Plan to Study Physician Group Mergers

by Jacqueline LaPointe

The Federal Trade Commission (FTC) has announced plans to study the effects physician group mergers and other recent healthcare facility consolidation deals have had on competition. In the Jan. 14...

Independent Medical Groups Increased Profit Per Provider in 2019

by Jacqueline LaPointe

Medical group financial performance generally improved before COVID-19 hit, with independent medical groups generating a profit that year, according to a new report. The newly released 2020 Medical...