decisionhealth Newsletters, Part B News - 2010 Issue 3 (March)
3 strategies you can use to limit low payers in your patient mix
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Article Overview
This practice-management article explains how some medical groups are responding to uncertainty in Medicare payment by adjusting scheduling and intake patterns to limit growth in lower-paying patients. It is written for physician practices, office managers, and administrators evaluating payer mix, access, and revenue stability across specialties and locations.
Why This Topic Matters
Payer mix can affect day-to-day scheduling, revenue, and long-term practice growth. The article is relevant for organizations trying to balance access, patient volume, and financial sustainability when reimbursement pressure changes.
Article Sections
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Approaches to limiting Medicare in the payer mix
Introduces several general scheduling and intake approaches used by practices that want to reduce the share of Medicare patients. It frames the discussion around revenue, access, and operational tradeoffs.
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Keeping Medicare in check
Describes how different practices and consultants monitor payer mix and manage new-patient scheduling across providers and sites. It also discusses broader operational considerations for practices that cannot substantially reduce Medicare volume.
What You Will Learn
- Why some practices are adjusting their patient mix in response to Medicare payment uncertainty
- Common scheduling and intake approaches used to manage payer mix
- How practices monitor payer mix across providers and locations
- Operational considerations for practices that cannot reduce Medicare volume significantly
Who Should Read This
- Physician practice administrators
- Office managers
- Revenue cycle staff
- Practice consultants
- Medical group leadership
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