On Feb. 25, physician staffing groups filed a federal antitrust lawsuit in California against the BCBS Association and over 30 of its licensees — along with plan owners Elevance Health, Highmark, GuideWell, Cambia Health Solutions and Health Care Service Corp.…
Legal + Compensation
Fragmentation, manual work and workflow burden are burdening physician practices’ ability to manage their finances, according to Encoda’s “The state of financial health” survey, published Feb. 24. Encode surveyed 84 physician practice leaders. primarily from independently or physician-owned organizations. More…
Stark law has long served as a guardrail against improper financial relationships in healthcare. But as delivery models evolve, many physicians say the next chapter of the conversation should focus less on whether the law should exist, and more on…
Speed is becoming a revenue cycle differentiator for physician practices, and Encoda’s “The state of financial health” survey, published Feb. 24, shows many practices still can’t see issues early enough to prevent downstream leakage. The survey collected insights from 84…
The same financial pressures hospitals are facing are increasingly evident at the physician enterprise level, according to Kaufman Hall’s latest quarterly “Physician Flash Report,” which is based on data from more than 200,000 employed providers — physicians and advanced practice…
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Clinics and physician practices recorded six bankruptcy filings in 2025, down from ten filings in 2024, according to a report from Gibbins Advisor published Jan. 22. Here are 10 more stats to know: 1. Clinics and physician practice bankruptcies increased…
Traditions Health has agreed to pay $34 million to resolve its civil liability under the False Claims Act for submitting medically unnecessary home health claims to Medicare and providing financial benefits to physicians in exchange for referrals, according to a…
Federal regulators are signaling that healthcare fraud enforcement is not slowing down in 2026, and in some cases, it may accelerate. Recent guidance and enforcement updates suggest physicians should expect closer scrutiny of billing, documentation, industry relationships and compliance certifications…
A former physician has been sentenced to 10 months in prison, followed by three years of supervised release, for seeking medical employment using a stolen identity, according to a Jan. 5 Justice Department news release. What happened?
Hartford, Conn.-based Hartford Healthcare’s acquisition of Manchester Memorial and Rockville General hospitals from bankrupt Prospect Medical was approved with conditions aimed at limiting cost increases and preserving physician autonomy, according to a Dec. 10 press release. The agreement resolves an…