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Overcoming the Challenges of Maintaining an Independent Healthcare Practice

Running a physician-owned healthcare practice is harder than ever. The administrative demands are costly and complex, and meanwhile, staffing challenges and changing patient expectations add pressure.

Your practice is likely juggling:

computer icon

EHRs

desktop with checkmarks icon

Patient portals

billing with icon

Billing

bill with dollar icon

Claims submission

person in cog icon

Staffing

hospital icon

General administration

All in addition to delivering the best possible patient care.

At the same time, less money is coming in the door than in the past.
Adjusted for inflation, Medicare physician payments have dropped by 33% from 2001 to 2025.1

Independent Healthcare Practices Are on the Decline

Inadequate payment rates, expensive resources, and tough-to-navigate regulatory requirements
are driving more physicians out of private practice.

18%

Drop in healthcare practices fully owned by physicians2

35%

Physicians with an ownership stake, down from 76%2

2X

Increase in physicians employed by hospitals2

30%

Practices acquired by hospitals, insurers, or private equity in the last 10 years2

Stay Independent by Working Smarter, Not Harder

Simplify administrative tasks, reduce denials, and boost profitability with Inovalon’s claims management and revenue cycle analytics solutions.

Save time

  • Manage claims for every payer, all in one place
  • Reduce front-end errors with automatic eligibility checks
  • Easily track all your claims from start to finish

Reclaim revenue

  • Fix claims denials with just a few clicks
  • Use clear correction guidance to identify and adjust errors
  • Keep cash flowing by turning denials into paid claims

Safeguard your margins

  • Assess performance at a glance with real-time cash flow reporting
  • Improve first-pass yield with data on your unique denial trends
  • Make smarter decisions based on a clear picture of your revenue cycle

Keep business running smoothly

  • Get help when you need it from a reliable support team
  • Tailor workflows with custom business rules specific to your needs
  • Stay focused on patients with uninterrupted service

Experience the Inovalon Difference

100%

25 of the top 25 U.S. provider systems use Inovalon3

3B+

Claims and remits processed annually4

43.04%

Average insurance identification hit rate on uninsured accounts5

98%

Or better first-pass payer acceptance rate6

Maintain Your Healthcare Practice Autonomy

Simplify claims management and strengthen financial performance.
Schedule a conversation with an RCM specialist today.

Request a Demo
  1. “2025 Medicare Updates Compared to Inflation Chart,” American Medical Association, January 2025, https://www.ama-assn.org/system/files/2025-medicare-updates-inflation-chart.pdf
  2. “Physician Practice Characteristics in 2024: Private Practices Account for Less Than Half of Physicians in Most Specialties,” American Medical Association, June 30, 2025, https://www.ama-assn.org/system/files/2024-prp-pp-characteristics.pdf
  3. Top 25 provider systems based on Becker’s Hospital Review List of 100 Largest Hospitals and Health Systems, December 2024. Inovalon internal reporting, April 2025.
  4. Internal reporting, Inovalon, February 11, 2025.
  5. Internal reporting, Inovalon, March 4, 2025. Individual results may vary.
  6. Inovalon internal reporting, Claims Management Pro, February 2025.

Inovalon and design® and Inovalon® are trademarks of Inovalon, Inc.

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