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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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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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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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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? Editorial Standards Reprints & Permissions LOADING VIDEO PLAYER. All Rights Reserved.

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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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5 issues in the check-in process that impact your medical practice 

Health Prime

Inaccurate information can include: Incorrect personal details Outdated insurance data Incomplete medical histories These errors in data entry can result in claim denials from insurance companies, leading to payment delays and financial losses for the practice.

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U.S. Workers Who Get Health Insurance From Work Can Expect Greater Cost-Sharing and New Networks in 2026

Health Populi

Workers Who Get Health Insurance From Work Can Expect Greater Cost-Sharing and New Networks in 2026 appeared first on HealthPopuli.com. The post U.S.