Single Case Agreements for Specialty Concierge Physicians

A Triple Win for You, Your Patient and Your Patient’s Health Plan As a specialist in a private concierge medical practice, you’ve chosen to terminate all insurance panel agreements. Patients will pay you directly for services (out-of-pocket). You provide patients with an invoice marked with dates of service, service codes, diagnosis codes...

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Reference-based Pricing Gets Put to the Test in Virginia

Make no assumptions about reference-based pricing! Not yet, anyway… Reference-based pricing in healthcare is an interesting concept. What it is and how it works: Reference-based pricing is a relatively new healthcare reimbursement model where employers contract with a company to negotiate payment rates outside a traditional HMO or PPO contractual relationship and...

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