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When your doctor’s visit comes with a hospital fee — but no hospital

Rebecca Smith, a breast cancer survivor, didn’t think much about it in 2018 when Novant Health bought Lake Norman Oncology, the practice in Mooresville where she had regular checkups with her cancer doctor. Then Smith, 51, received a medical bill that left her stunned. Read the full article at North Carolina Health News

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Private Equity Practices Cut Medicare Costs, Boost ASC Potential

In 2022, Medicare spending for beneficiaries treated in private physician practices backed by private equity was, on average, 9.8% lower compared to those treated in hospital-affiliated practices. That’s according to a recent study conducted by Avalere, commissioned by the American Independent Medical Practice Association (AIMPA). Read the full article at Ambulatory Surgery Center News

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Facility fees can skyrocket your medical bills. Here’s what you can do

When was the last time you really looked at your doctor’s bill line by line? Did you happen to run across a facility fee charge? Facility fees are a hospital’s charges for outpatient or doctor services provided in an office not owned by that doctor. The out-of-pocket amount can be costly. So, what, if anything,

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Oncology Mergers Are on the Rise. How Can Independent Practices Survive?

When he completed his fellowship at Fox Chase Cancer Center in Philadelphia, Moshe Chasky, MD, joined a small five-person practice that rented space from the city’s Jefferson Hospital in Philadelphia. The arrangement seemed to work well for the hospital and the small practice, which remained independent. Within 10 years, the hospital sought to buy the

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Leveraging Managed Service Organizations to Provide More Affordable, Personalized Cancer Care

As the cost of cancer treatment continues to rise for both patients and providers, independent clinicians are being forced to consolidate with larger health care systems to stay financially afloat. However, some clinicians believe this trend has negatively affected their ability to provide patients with timely, personalized care. To combat the rising costs and avoid

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Fending Off Extinction: 3 Ways To Take Your Physician Practice Back

As healthcare has evolved over time, so has the prevalence of private physician practices. What was once a common occurrence for patients—heading to the family-owned doctor’s office—has in many cases been replaced by the experience of seeking care at a network of physicians employed by large organizations. Read the full article at HealthLeaders

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Advocacy Organization President: Private Practice Is Becoming a Niche

A new physician-led national advocacy organization seeks to empower independent medical practices during major consolidation among hospitals and payers. The American Independent Medical Practice Association (AIMPA) aims to level the playing field regarding reimbursement for independent practitioners and that of hospitals. AIMPA was launched in October of 2023 with approximately 4000 doctors and has since doubled its

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Dr. David Eagle: CMS Reimbursement Cuts Encourage Trend of Independent Physician Exodus

For independent doctors, 2024 began with a Medicare reimbursement pay cut of 3.4%, as legislation in both the House and Senate seeks to alleviate but not eradicate the reduction. Over the past 20 years, Medicare physician pay has plummeted by 26% when adjusted for inflation, while hospital reimbursement has surged by 70%, prompting over 100,000 doctors to abandon independent

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