Yale Medicine in New Haven, Conn., grew a lot in the past decade. From 2008 to 2018, the largest academic multispecialty practice in New England:
- Broadened clinical departments from 16 to 21;
- Expanded from 891 physicians to 1,416 (a 31% increase); and
- Increased the number of nonphysician providers (NPPs) fivefold, from 149 to 754.
Not surprisingly, the volume of patient encounters saw a big jump in that same time frame: from just under 916,000 to 3.1 million. That created challenges with billing and collecting for all those encounters.