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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. The pay-first model improves cash flow by collecting patient payments upfront, reducing manual collections and bad-debt write-offs.

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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? Follow Author Share Save Comment Innovation Healthcare Healthcare Robotics Pioneer Mendaera Announces FDA Clearance By Dr. Sai Balasubramanian, M.D., Sai Balasubramanian, M.D.,

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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. Despite this, the mean reduction in cost-sharing following a successful appeal was still lower for Black and Hispanic patients than for White patients. “It Yet the burden to resolve them often falls on patients or time-strapped health care practices.

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5 Risk Control Considerations as Nurse Practitioners’ Scope of Practice Expands

Minority Nurse

Failure to do so could lead to malpractice claims if a patient experiences harm due to perceived negligence. Inadequate documentation not only compromises patient care but also increases liability risks, as it can hinder the defense of an NP during a malpractice lawsuit. Malpractice Insurance. link] Candello.

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Proactive denial management: A revenue game changer for small practices

Medical Economics

Practices that take a proactive stance turn claim denials into early warning indicators that speed up payments and streamline everyday operations. 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.

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Navigating the Shift to Value-Based Care: Investing in the Patient Experience

Relias

In the past, healthcare payments from insurers came after providing services to patients, known as a fee-for-service model. Consequently, healthcare organizations have incentive to prioritize improving care coordination, providing cost-effective care, and ensuring a superior patient experience.

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EHR Revenue Cycle Management: A Massive Potential

Arkenea

By automating reminders for due payments, healthcare providers can ensure prompt collections, thereby improving the cash flow without negatively impacting the patient experience. This real-time verification prevents claim denials due to eligibility issues and enables accurate patient financial counseling before services are provided.