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How pay-first and direct primary care models are reshaping practice finances and patient experience

Medical Economics

The pay-first model improves cash flow by collecting patient payments upfront, reducing manual collections and bad-debt write-offs. Direct primary care (DPC) offers stable revenue through subscription fees, eliminating routine insurance claims and enhancing patient access.

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Doctors, patients, insurers all frustrated with prior authorization, RFK Jr. and Dr. Oz say

Medical Economics

and Dr. Oz say Author(s): Richard Payerchin Fact checked by: Todd Shryock Key Takeaways Health insurers are committed to standardizing electronic PA submissions and reducing services requiring PA by 2026. The initiative emphasizes prioritizing patient health over corporate profits, with support from healthcare professionals and patients.

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Healthcare Robotics Pioneer Mendaera Announces FDA Clearance

Forbes Healthcare

Home Warranty Cost Best Home Appliance Insurance Best Solar Companies Best Solar Panels Cost Of Solar Panels Solar Tax Credit By State Are Solar Panels Worth It? Best Home Warranty Companies Cheapest Home Warranty Companies Are Home Warranties Worth It?

Insurance 201
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Insurance companies vow to fix prior authorization process…again

Medical Economics

Key initiatives include standardizing electronic submissions, reducing claims subject to prior authorization, and ensuring continuity of care during insurance transitions. Physicians remain cautiously optimistic, recalling past commitments with limited progress, but hope for meaningful improvements in patient care. Beginning Jan.

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Low-income patients face uphill battle when fighting health insurance denials, Umass research finds

Medical Economics

adults with private health insurance between 2017 and 2019. Another finding: about 40% of all denials were due to billing errors by health care providers or processing mistakes by insurers—a reminder that many denials are not based on medical necessity or policy rules, but administrative mishaps.

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Proactive denial management: A revenue game changer for small practices

Medical Economics

Industry data showed that insurers on HealthCare.gov denied about 19% of in-network claims in 2023 ; that’s $73 million out of $319 million in claims filed. For example, if you see a spike in denials from a particular insurer due to eligibility, you know exactly where to focus your front-end efforts.

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How GLP-1s Are Showing Up at CES 2025

Health Populi

CES 2025: as you read the acronym and year, your brain registered an image like consumer technology and the start of a new year, or some variation of those thoughts. Quite separate from the Digital Health track of CES 2025, there’s a food-tech content track sponsored by The Spoon.