In today’s healthcare environment, with healthcare reform pressures, stiff competition, and increased regulatory scrutiny, achieving that all-important financial success demands effective financial performance management.

This article reviews the nature of one of the fully qualifying Advanced APMs, the Next Generation Accountable Care Organization (ACO) Model, and its risk–benefit sharing principles based on prior experience with the Medicare Shared Savings Program an...

This article reviews the basics of the transition from volume-based to value-based reimbursement, summarizes the latest government healthcare programs under the Affordable Care Act, and explores what providers need to know to navigate the transition ...

A team of health care experts crunches the numbers and reaches the conclusion that creating — or expanding — a physician adviser program is a good return on investment for any organization considering it.

This article offers an overview of the new Medicare reimbursement landscape and specific steps that practices can take to protect revenue streams today and ensure they thrive tomorrow.

One major factor influencing your medical practice’s success that is often overlooked is the culture of the organization and the engagement and quality of the team that upholds it. Receivables Management Partners has developed the C.A.R.E. model of h...

MACRA is the next generation of sweeping reform in healthcare legislation. This new rule will drive a mass transition to value-based reimbursement, whereby doctors and other providers will get paid based on the quality of their work and the steps tha...

This article reviews the nature of one of the fully qualifying Advanced APMs, the Medicare Shared Savings Program, and its risk/benefit sharing principles.

This article discusses the dichotomy between the need for physician leaders and the need for alternative pathways for medical licensure for nonpracticing physicians who seek leadership roles, including the possibility of a national solution to the pr...

In today’s healthcare environment, with changing payment methodologies, understanding the revenue streams for a physician practice is essential to a practice’s overall financial health.

This article describes the core elements that make up the Merit-Based Incentive Payment System (MIPS) and discusses the likely criteria that will be used as the core elements necessary for competitive reimbursement ranking.

This article covers the basics of the Merit-Based Incentive Payment System (MIPS): a shift from paying doctors using a traditional fee-for-service reimbursement model to one that pays according to the value that they provide to their patients, where ...