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

Medical Economics

Direct primary care (DPC) offers stable revenue through subscription fees, eliminating routine insurance claims and enhancing patient access. Once the insurer processes the claim, any remaining patient responsibility is automatically charged to the credit card on file, drastically reducing manual collections and bad‑debt write‑offs.

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Constant credentialing and provider purges: The hidden crisis for physicians and other clinicians in U.S. health care

Medical Economics

Three months later, when longtime patients start calling about their insurance no longer covering visits, the physician finds out they have been dropped from multiple networks, not for quality issues but for missing a paperwork deadline. Insurance companies simply drop noncompliant providers and notify them after the fact. In practice?

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How to Embrace AI as Your Clinical Assistant

Valant

Blog Artificial Intelligence Sentiment & Adoption in Behavioral Health Learn More Popular Blog Articles Treatment Plan Template August 21, 2024 Therapy Notes vs. Progress Notes July 16, 2024 ICD-10 Codes for Depression 2025 – F32.0–F33.3 June 4, 2021 ICD-10 Code for Anxiety, Unspecified 2025 – F41.9

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57% of patients say yes to AI in the exam room if it means more time with their doctor

Medical Economics

Patients are comfortable with AI in operational tasks like prescription refills and appointment scheduling but wary of its role in diagnosis and treatment. Less clicking, more connecting Three out of four respondents (77%) said their appointments lasted less than 15 minutes on average.

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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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Telehealth Analysis: The Pros & Cons

We Care Online

In this article, we’ll explore the pros and cons of telehealth, providing a balanced perspective on its impact on healthcare delivery. Convenience and Time Savings Telehealth appointments save time for both patients and healthcare providers. However, while telehealth offers a number of benefits, it also comes with some challenges.

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Enhancing patient outcomes by strengthening allergy evaluation in primary care settings

Medical Economics

Establishing medical necessity: The downstream importance of diagnosis codes Establishing a patient’s medical necessity is critical because it ensures that diagnostic tests, treatments and referrals are both clinically justified and reimbursable by insurance. were hospitalized.