Is Internal Medicine EBITDA Loss in New York Driven by AR Bottlenecks?

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Yes, EBITDA loss in internal medicine practices in New York is often driven by accounts receivable (AR) bottlenecks that delay collections, increase write-offs, and weaken overall financial performance. When revenue is earned but not converted into cash on time, it directly affects profitability and limits a practice’s ability to scale and invest in growth. Internal medicine practices operate in a high-volume environment with complex payer interactions. In a state like New York, where reimbursement rules vary across multiple commercial and government payers, even small inefficiencies in the billing process can quickly compound. Over time, these inefficiencies create AR bottlenecks that slow down cash flow and reduce the ability to yield EBITDA growth. Why AR Bottlenecks Directly Impact EBITDA EBITDA is closely tied to how efficiently a practice converts billed services into collected revenue. When claims remain unpaid or delayed in AR, revenue is effectively locked. This creates ...

Value-Based Reimbursement in Behavioral Health



Value-based care is also known as accountable care. A value-based care system is focused on getting value from quality services. Value-based healthcare is a payment system that rewards healthcare providers in accordance with the quality of care provided to their patients. Payments are based on better health for populations and other things, such as cost reduction, which can lead to a focus on preventative care. The benefit of value-based care is a patient in a value-based healthcare model will have fewer doctor’s visits, medical tests, and medical procedures. Additionally, they pay less on medication as their health gradually improves.
BlueCross BlueShield came into the value-based reimbursement arrangement with Value Network. The provider group has 100+ providers in behavioral health care in Western New York.
“This is another step we’re taking to build a behavioral health care model that’s designed to effectively treat the whole person,” said Dr. Thomas Schenk, Senior Vice President, Chief Medical Officer, BlueCross BlueShield of Western New York. “BlueCross BlueShield of Western New York is proud to partner with the region’s leading behavioral health care providers to introduce the first payment model designed to directly enhance quality care for our members with mental health and/or substance use disorder diagnoses.”
If you want to read the complete blog then click below: Value-Based Reimbursement in Behavioral Health

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