Malpractice Risk Is Declining — But Don’t Let That Number Fool You
By Elena Pak, Credentialing Department, WCH The headline from the American Medical Association’s latest research report sounds reassuring: the share…
Category: Business View
The Medicare Advantage Improvement Act of 2026: What Providers Need to Know — and Do Now
By Elena Pak, Credentialing Department, WCH A bipartisan group of lawmakers has introduced the Medicare Advantage Improvement Act of 2026…
The Structural Compliance Failure Behind Healthcare’s Preventable Losses
By Elizaveta Bannova, Billing Department, WCH; Educational Officer, AAPC
The IDR Battleground: When Insurers Lose in Court, Who Actually Gets Paid?
No Surprises Act · Independent Dispute Resolution · Provider Finance By Olga Khabinskay, Director of Operations, WCH Blue Cross just…
The Hidden Minefield in Your Medical Billing Contract
By Edita Petrosyan, Billing Department, WCH
Open Payments Pre-Publication Window Is Open: What Every Covered Provider Must Do Before May 15
Elizaveta Bannova, Billing Department, WCH The 45-day review period has started. Missing it won’t cost you money directly — but it may cost…
Payer CEOs Made Up to $61 Million in 2025 — While Providers Fought Denials, Delays, and Shrinking Margins
In 2025, many physician practices described the same financial reality in increasingly urgent terms: claims taking longer to adjudicate, prior…
No Surprises Act: What Has Changed for Providers — and Where the Real Risks Now Lie
The law designed to protect patients created a new arbitration economy. That same system is now drawing sustained attention from…
A Signal, Not a Solution: What UnitedHealthcare’s Rural Hospital Initiative Means for Providers — and What They Still Need to Do
UnitedHealthcare’s April 20 announcement that it will exempt approximately 1,500 rural hospitals from most prior authorization requirements and accelerate payments…
Under the Microscope: What CMS’s Fraud Crackdown and Rising Claim Denials Mean for Providers in 2026
Two forces are squeezing healthcare providers from opposite directions in 2026. From the regulatory side, CMS leadership is pursuing its…