Medical Funding for Service and Healthcare Providers.

12/2025 By August Trevino commercial strategist

Introduction:

Nature of Transaction: Funding is a debt (a loan), while factoring is considered the sale of an asset.

 Medical Receivable funding (MRF) is designed as a quick funding solution for service companies that bill healthcare providers directly. Examples would be staffing, transcription, hospice, supplies/devices, etc.

Medical factoring (MF) is designed as a quick funding solution for healthcare providers that bill insurance directly (Insurance Companies, Medicare/Medicaid, etc.). Examples would be physician medical practices, hospitals, rehabilitation centers, nursing / assisted living facilities, etc.

Let’s start with Medical Receivable Funding. (MRF) has emerged as a vital financial tool for service companies that bill healthcare providers directly. In industries where cash flow is often strained by delayed reimbursements, MRF offers a streamlined solution to bridge the gap between invoicing and payment.

The challenge of delayed working with payments for healthcare providers, including hospitals, clinics, and long-term  care facilities, is that they operate within complex reimbursement structures. Payments may be delayed due to insurance verification, compliance checks, or administrative bottlenecks. For service companies that support these providers, such delays can create significant financial stress. Payroll obligations, vendor payments, and operational expenses continue regardless of when invoices are settled. Without reliable cash flow, even well-established businesses can struggle to maintain stability.

MRF is designed to address this challenge by converting outstanding receivables into immediate cash. Instead of waiting weeks or months for healthcare providers to pay invoices, service companies can sell or finance their receivables through specialized funding firms. These firms advance a percentage of the invoice value—often within 24 to 48 hours—providing the company with quick liquidity. Once the healthcare provider pays the invoice, the funding firm collects repayment, deducts its fees, and remits any remaining balance to the service company. This process is similar to commercial factoring but tailored specifically to the healthcare ecosystem. By focusing on receivables tied to medical providers, MRF firms understand the unique payment cycles and compliance requirements of the industry.

The advantages of MRF are multifaceted:

  • Immediate Cash Flow: Companies gain access to funds quickly, ensuring they can cover payroll, purchase supplies, and manage day-to-day operations without disruption.
  • Operational Stability: Predictable funding allows businesses to plan growth strategies, expand services, and invest in new technologies.
  • Reduced Financial Stress: By eliminating the uncertainty of delayed payments, MRF helps companies focus on service delivery rather than collections.

This next section deals with medical factoring (MF).

Healthcare providers operate in a financial environment unlike most other industries. Physician practices, hospitals, rehabilitation centers, and nursing or assisted living facilities often deliver services upfront but must wait weeks—or even months—for reimbursement from insurance companies, Medicare, or Medicaid. This lag in payment can create significant cash flow challenges. Medical factoring (MF) has emerged as a practical solution, offering immediate liquidity by turning receivables into cash.

What Is Medical Factoring?

Medical factoring is a financial transaction in which healthcare providers sell their insurance receivables to a factoring company. Instead of waiting for insurers or government programs to process claims, providers receive a cash advance—often within 24 to 48 hours. The factoring company then collects the payment directly from the insurer when it becomes due. Importantly, this arrangement is not a loan. Funding through traditional debt instruments adds liabilities to the balance sheet, while factoring is considered the sale of an asset. This distinction makes MF an attractive option for providers seeking liquidity without incurring debt.

Why Healthcare Providers Use MF

Healthcare organizations face high operating costs, from payroll and medical supplies to rent and compliance expenses. Delayed reimbursements can disrupt operations, even for financially stable practices. Medical factoring addresses these challenges by:

  • Accelerating cash flow: Providers gain immediate access to funds tied up in insurance claims.
  • Avoiding debt obligations: Factoring does not involve interest payments or loan covenants.
  • Reducing administrative burden: Factoring companies often manage collections, freeing staff to focus on patient care.
  • Supporting growth: Reliable cash flow enables providers to expand services, hire staff, or invest in new equipment.

Who Benefits from Medical Factoring?

Medical factoring is particularly useful for organizations that bill insurance directly. Examples include:

Physician practices: Smaller clinics often struggle with reimbursement delays. Factoring ensures they can cover payroll and operating costs.

  • Hospitals: Large institutions face significant overhead. Factoring stabilizes cash flow during periods of high patient volume.
  • Rehabilitation centers: Extended treatment programs rely heavily on insurance payments. Factoring provides predictable funding.
  • Nursing and assisted living facilities: With ongoing care needs and high staffing costs, these organizations benefit from faster access to receivable funds.

How the Process Works

  1. Claim submission: The provider submits insurance claims as usual.
  2. Sale of receivables: The factoring company purchases the claims, typically advancing 70–90% of their value immediately.
  3. Collection: The factoring company collects payment from the insurer.
  4. Settlement: Once payment is received, the factoring company remits the remaining balance to the provider, minus a small fee.

Advantages and Considerations for these types of funding.

Medical factoring and funding offers clear advantages: speed, flexibility, and reduced financial stress. However, providers should carefully evaluate these companies. Fees vary, and transparency in contract terms is essential. As example disclosures, some companies alter the client that you are factoring and some companies will keep this confidential. While factoring improves cash flow, it does not increase reimbursement rates or eliminate systemic delays in insurance processing. It is always advised to seek advice from a professional with experience in this field.

 

August Trevino

FRACTIONAL EXECUTIVE

COMMERCIAL STRATEGIST 

Direct: ‪(210) 951-9268

e-Mail: au.ent9@gmail.com

Webpage: linkedin.com/in/acttoday

Supporting the Alzheimer’s Association in San Antonio

The Alzheimer’s Association is steadfast in its mission to serve the San Antonio community through comprehensive support, cutting-edge research funding, and tireless advocacy for those affected by Alzheimer’s disease and related dementias. This year has marked significant milestones in our local fight against this devastating disease. We’re proud to introduce our first-ever Alzheimer’s Association mobile app, a groundbreaking tool designed to guide individuals and families affected by Alzheimer’s and other dementias directly to the support and education they need to navigate this challenging journey. This innovative resource puts critical information, care strategies, and connection to our services right at users’ fingertips, making it easier than ever to access help whenever and wherever it’s needed.

The passage of Proposition 14 represents a historic victory for Texans impacted by Alzheimer’s, authorizing crucial state funding for research and support services that will strengthen our ability to serve families throughout the San Antonio region. As we close out another successful Walk to End Alzheimer’s fundraising season, we’re deeply grateful to the thousands of participants, volunteers, and donors who join us through the end of the year in raising critical funds and awareness. Funding raised stays local, supporting free care consultations, support groups, educational programs, and our 24/7 Helpline that serves as a lifeline for caregivers navigating the challenges of this disease.

Looking ahead to spring, we’re excited to begin preparations for our signature gala event, which promises to be an elegant evening of community, hope, and fundraising. This celebration will bring together San Antonio’s most dedicated advocates, supporters, and community leaders to honor those we’ve lost, support those currently fighting, and invest in the breakthrough treatments and care solutions of tomorrow.

Whether you participated in this year’s Walk or are looking for ways to get involved, we invite you to join us in building a stronger, more supportive San Antonio for everyone touched by Alzheimer’s disease.

by Valerie Levario

 

Healthcare Leaders is helping support the Poco Loco team for the Walk to End Alzheimer’s and will be collecting donations at our December 11th, 2025 and our January 8th, 2026 networking mixers. If you are unable to join us on those dates, you can still help us support this important cause by scanning the QR code below. Join us in the fight to end Alzheimer’s!

 

Webinar: The RPC Method by Dr. Uejin Kim

Dr. Uejin Kim is a dual board-certified psychiatrist specializing in child, adolescent and adult care. She provides compassionate care by “bridging spirituality and mental health” through her practice, Restore Psychiatry She is a devoted Christian, a compassionate mother and an advocate for mental wellness.

On November 13th, 2025, HLSA was honored to host Dr. Kim as our special guest for a webinar titled, The RPC method: Achieving True Success & Freedom for High Achievers. A perfect topic for many healthcare professionals whose jobs include high-stress, high-responsibility decisions that can leave them feeling drained and overwhelmed, leading to burnout and disconnection. If you missed the life webinar, we hope you can take some time now to watch as Dr. Kim discusses techniques for learning to pause in your busy work schedule without self-judgment, how to protect your energy, and how to reconnect with purpose- transforming stress into resilience.

 

AI for Work and Life

AI has been under development for decades.  Recently, AI has taken a hockey stick trajectory into the mainstream with the development of new and ever evolving AI tools.  At 67 years old, I have not been the most informed on technology over the years.  As I speak with others at our HLSA Networking events I KNOW there are useful and evolving benefits for AI.   But many have a self-imposed roadblock on learning new technology.

Whether you are just starting your career or if you are a seasoned executive there will be a place in your toolbox for AI which will enhance your career or just assist you in becoming more efficient and familiar with the technology and its tools.

As a result of my shortcomings in technology I decided to become more familiarized with AI and its current development.  I did so by enrolling in a free certificate course from the University of North Florida (UNF). The course is currently free for a limited time thanks to NLP Logix who has sponsored the program.

This program is designed to help professionals, students and lifelong learners understand and apply Artificial Intelligence in practical, everyday contexts – both in the workplace and beyond. The program is fully online and consisted of 8, self-paced modules with an approximate 10-hour duration total timeline.

I started Module 1 on October 23rd and completed Module 8 and received my certificate on November 16th.  The Course was facilitated by various experts and leaders in AI development in a number of various platforms.

The introduction to AI was the catalyst for starting the program and was interesting and thought provoking.  It fueled my ambition to learn more. The course then moved onto highlighting a number of AI Tools, how to use them and incorporated a demonstration on how these tools can be accessed and utilized for your work or life benefits.

In my opinion, the module on the Art and Science of Prompting was the most valuable as this is the key to getting your desired results from any AI tool.  The program then progressed into the rising ethical challenges that AI brings.  Narrow AI vs Large Language Models (LLMs) were discussed along with the pitfalls of each.  AI is not perfect so there are necessary guidelines you need to know about when engaging with AI tools.

The program then addressed AI in key industries such as Medicine, Law and everyday life and progressed into how AI has and may affect our world as it continuously develops and evolves.  The material covered make me think about the possibilities and cemented my decision to take this valuable beginner’s course.

I can enhance my newly gained knowledge further by engaging further with the utilization of AI tools and learning how to make AI enhance my work & everyday life.  Jumping in and utilizing various AI tools will ultimately determine the extent of knowledge I will gain.  I would suggest that any beginning student or seasoned executive with limited knowledge take a beginner’s course which may possibly inspire you by going into deeper context through the many programs that are developing on the Topic of Artificial Intelligence.

 

by Gary Meyn, LFACHE

 

 

Navigating the Complexities of Medical Billing: Coding Errors and Medicare Denials

Medical billing remains one of the most persistent administrative challenges for physicians. Coding errors and the high rate of Medicare claims denials are among the top perennial issues—and both can significantly impact practice revenue and operational efficiency.

Coding errors, whether due to outdated codes, misinterpretation of clinical documentation, or simple clerical mistakes, are a leading cause of claim rejections. Due in no small part to the complex and changing nature of the code sets. The ICD-10  updates for FY2025, for example, included 252 new codes, 36 code deletions, and 13 code revisions. These changes, along with the similarly evolving CPT codes, require ongoing education and rigorous attention to detail. Even minor discrepancies—such as mismatched procedure and diagnosis codes—can trigger denials, delay payments, or invite audits.

The need for vigilance in billing and coding is nowhere more apparent than with Medicare, the largest payer in the U.S. healthcare system. According to recent data, average Medicare denial rates for physicians can range from 5% to 10%, depending on specialty and region. Common reasons include insufficient documentation, incorrect modifiers, and lack of medical necessity. These denials not only reduce cash flow but also increase administrative burden, as practices must invest time and resources into appeals and resubmissions.

The financial implications are substantial. Rejected claims can lead to lost revenue, especially if not corrected promptly. Moreover, repeated errors may flag a provider for compliance reviews, adding legal and reputational risks.

To mitigate these challenges, many practices are turning to third-party revenue cycle management companies, certified medical coders, automated billing software, and regular audits. However, even with these tools, the human element remains critical—accurate documentation and clear communication between clinical and billing teams are essential.

In an era of value-based care and tightening reimbursement models effective medical billing skills and solutions are indispensable to sustaining your practice.

 

Editor’s note: We discovered this Linkedin post by Anoop Silva, President of Wave Online, shortly after publishing article and wanted to add it as a postscript because it resonates so closely with the things we hear at our networking events, i.e. less than optimal documentation habits, poor modifier usage and workflow inconsistencies contribute greatly to revenue loss.

Made Lovely by Leslie- A Special Offer for HLSA Members!

We recently had the pleasure of meeting Leslie Reed at one of our monthly business mixers. Leslie is a licensed esthetician and owner of Made Lovely by Leslie Esthetics, a luxury skincare studio located at 18470 Blanco Rd, Suite 111 in Stone Oak. A focused and dynamic business woman herself, Leslie understands what motivates professionals and 0ver 80 percent of her clientele includes professionals like attorneys, executives, and entrepreneurs. As Leslie explains it “I know what it’s like to look in the mirror and want your skin to match how vibrant and successful you feel inside. That’s why I blend advanced skincare science with a relaxing, high-end spa experience — so you don’t have to choose between results and self-care.”

And about that special offer? Leslie is graciously offering our HLSA members a 25 percent discount on one of her treatments!

Who is a HLSA member? If you have ever come to one of our mixers or received our newsletter we consider you a member.

Just contact Leslie and tell her you saw the offer here or in our newsletter.

We know you will enjoy the experience!

 

 

Outside The Box Funding for Medical Practice and Healthcare Business

Whether you are a physician’s office or in some form of healthcare delivery  you accept or should be accepting credit cards. This opens the door for an excellent form of credit line funding known as a merchant advance (MCA).

A merchant cash advance (MCA) is a form of business funding designed for companies that generate consistent revenue and may need fast access to working capital. Unlike traditional bank loans, an MCA is not technically a loan. Instead, it is the purchase of a portion of a business’s future receivables in exchange for a lump-sum amount of funding, the business agrees to repay the advance using a percentage of daily or weekly sales or a fixed debit schedule drawn directly from its business bank account.

One of the main advantages of an MCA is the speed of funding. Many providers can approve applications and deposit funds within 24 to 72 hours. This makes MCAs appealing to businesses that need to cover urgent expenses, seize a time-sensitive opportunity, or handle temporary cash-flow gaps. Additionally, credit requirements tend to be much more flexible compared to traditional financing. Businesses with lower credit scores or limited collateral can still qualify as long as they show consistent revenue.

There are two primary methods of repayment. The first is called split funding, where a small percentage of each credit card transaction is automatically taken out and directed to the provider. The second method, now more common, is ACH daily or weekly repayment, in which a set amount is withdrawn directly from the business’s bank account. Because of this arrangement, a business does not generally need a specific merchant account provider to receive an MCA. Most existing payment systems work just fine. The main requirement is being able to provide bank statements and revenue history.

However, it is important to understand the cost structure. Instead of an interest rate, MCAs use a factor rate, which is a multiplier applied to the advance amount. For example, if a business receives $20,000 and the factor rate is 1.25, the total repayment amount becomes $25,000. The factor rate does not change based on how quickly or slowly the business repays because many MCAs are repaid over a short period (often a few months).

To qualify, most providers look at revenue stability, average monthly sales, the length of time the business has been operating, and the consistency of deposits. A history of frequent overdrafts or insufficient funds may reduce approval chances. Businesses that process consistent daily or weekly sales, especially through debit and credit card transactions, tend to receive more favorable offers.

Before accepting an MCA, businesses should review the repayment method and ensure it fits with their cash flow. It is advisable to seek a consultant who is well versed on MCA’s. A repayment schedule that is too aggressive can create financial strain. It is also valuable to compare multiple offers, review all fees, and understand whether the agreement renews or stacks additional advances. As a note, once paid you can immediately pull another MCA. Also in most cases you will qualify for a higher loan amount at a lower factor.

Merchant cash advances can be a useful financing tool when used strategically. They provide speed, flexibility, and accessibility, especially for businesses that may not qualify for traditional loans. The key is to approach them with clear understanding, careful evaluation, and thoughtful planning to ensure they support the business rather than overwhelm it.

AugustTrevino

Mr. August Trevino is a commercial strategist with over thirty years of experience with specialization in small business funding. To discuss your business funding needs he can be reached at email, au.ent9@gmail.com Ph, (210) 951-9268‬

Exploring Alternatives: ‘Hard Money’ as an Outside-the-Box Small Business Funding Option

By August Trevino, Commercial Consultant

In the landscape of commercial finance, banks are not the sole arbiters of capital. Businesses often seek funding from alternative sources, including investment groups and private entities—collectively known in the industry as Hard Money Lenders. These lenders represent a distinct funding avenue, particularly beneficial for businesses with immediate capital needs or those who may not meet traditional bank loan criteria.

The Appeal of Hard Money Financing

The primary benefits of engaging with Hard Money Lenders center on speed and accessibility:

  • Expedited Funding: A key advantage is the significantly faster funding process. Qualified borrowers can often access loan proceeds or credit lines within days, sometimes as soon as 24 hours, compared to the protracted timelines of conventional banking.
  • Lower Qualification Hurdles: Hard Money Lenders typically impose more lenient credit score requirements. Qualification for a business term loan or line of credit may only require a personal FICO score of 600 to 680. While some business loans may necessitate an established business credit history, the overall barrier to entry is lower.
  • Emergency Capital Source: Although Hard Money Lenders may not offer the most affordable financing, their rapid funding capability and simplified application process make them an invaluable option for businesses facing emergency capital expenditures who cannot afford to wait through a traditional loan application and underwriting process.

Understanding the Trade-Offs

It is crucial for professional borrowers to understand the specific characteristics of this alternative funding:

  • Short-Term Nature: These loans are characteristically short-term, with repayment periods often ranging from 12 to 24 months.
  • Higher Interest Rates: The convenience and risk profile associated with this speed and leniency translate into higher interest rates compared to typical bank loans. However, starting Annual Percentage Rates (APR) can begin at 20%, which may, in certain cases, be competitive with or lower than some business credit cards.
  • Flexible Repayment Structures: Repayment schedules can vary widely, from weekly to monthly payments, often with automatic withdrawals, and may occasionally be structured as interest-only for the duration of the term.

Types of Hard Money Financing

Hard Money Lenders generally offer small businesses the opportunity to obtain financing through two primary product structures:

  • Business Term Loan: This is a lump-sum installment loan. Borrowers receive the entire principal amount upfront and repay the proceeds, plus interest and fees, according to a fixed schedule. Hard Money Lenders typically offer short-term business loans with repayment periods between 18 and 24 months.
  • Business Line of Credit (LOC): Functioning as a revolving account similar to a business credit card, the LOC grants the business a set credit limit. The borrower can draw up to this limit, and the credit becomes reusable as the balance is repaid during the draw period. Interest is only owed on the amount borrowed, not the full credit line.

Prepayment Flexibility

A significant feature of many Hard Money products is the option for early repayment. Lenders typically do not impose prepayment penalties if a term loan or line of credit is paid off ahead of schedule. Furthermore, some borrowers may qualify for a Prepayment Benefit, where the lender waives any remaining interest. However, in cases where this benefit is not granted, the borrower may still owe up to 75% of the remaining interest disclosed in the loan agreement upon early settlement.


Typical Product Details

 

Feature Details
Loan Amount $5,000 to $250,000+
APR (Annual Percentage Rate) Starting at 20%*
Typical Term 12–24 month repayment term (resets with each LOC withdrawal)
Repayment Schedule Weekly to monthly payments (typically automatic draw)
Funding Speed Instant funding availability (upon approval)
Minimum Credit Score Personal FICO score of 600
Bottom Line

For companies requiring rapid access to capital with minimal qualification requirements, Hard Money Lenders offer flexible term loan and line of credit solutions that serve as a viable and effective alternative to traditional bank financing.


Is your business currently evaluating its funding strategy, and if so, are these short-term, high-speed options a consideration?

 

August Trevino is a Commercial Funding Strategist with 20+ years of proven success in securing funding / cash injections for both new and established businesses. To discuss your business, contact

August Trevino
Email: au.ent9@gmail.com
Phone: ‪(210) 951-9268
Web: linkedin.com/in/acttoday

Strategies for Engaging Patients Who Self-Diagnose via the Internet

Author: ProAssurance

Time pressures1 and lack of patient trust2 are factors that can contribute to physician burnout. Patients who self-diagnose based on internet research combine these factors. Expecting self-diagnosing-patients to passively receive physician-delivered medical information will likely increase the frustration of both parties. Therefore, it can be more productive with these challenging patients to integrate their internet information into patient education.

This approach can improve clinical communication, strengthen the physician-patient partnership, increase patient satisfaction, and result in better outcomes. Time management strategies can help physicians keep discussions about internet content limited to the confines of the scheduled visit. When handled correctly, there is a silver lining to patient internet use.

Internet Websites for Patient Education

There are many websites that offer health advice and information. The Medical Library Association provides guidance on finding good health information. The websites listed below can get you started on your own recommendations for patients:

References

  1. Cory Pitre, et al. “Physician Time Management.” MedEdPORTAL, February 2018.
  2. James F. Sweeney. “The Eroding Trust Between Patients and Physicians.” Medical Economics, 4/10/2018.

 

Full Article Link: https://proassurance.com/knowledge-center/strategies-for-engaging-patients-who-self-diagnose-via-the-internet

 

Read more from ProAssurance: https://proassurance.com/knowledge-center

When Healing Others Becomes a Way to Avoid Ourselves: The Quiet Cost of High Performance in Healthcare

If you work in healthcare—whether you’re a nurse, a doctor, a manager, or someone who works with data—you carry a lot of responsibility. People count on you for their health, safety, and care. And you’re probably really good at handling that pressure.

You’re used to pushing through tough days. You solve problems, stay late, and make hard decisions. You always show up. That’s what makes you great at your job.

But there’s something many people in healthcare quietly struggle with: perfectionism. The pressure to always do everything right and never make mistakes might seem like a strength. But it can also lead to something more serious—emotional fragility.

When you believe your worth depends on your performance, it can be exhausting. You might start to wonder if you’re ever doing enough. Over time, this stress can build up, and you may feel disconnected from yourself and the people around you.

Research shows that perfectionism is linked to higher risks of mental health problems, including depression and suicide. This doesn’t mean perfectionism always leads to those things—but it does mean we need to be aware of how much pressure we’re putting on ourselves.

In healthcare, it’s easy to tie your value to things that can be measured: how quickly you care for patients, how many tasks you complete, and how good your reviews are. But things like connection, reflection, and rest don’t show up on charts or dashboards—and yet, they’re just as important.

So we keep working. One more patient. One more meeting. One more emergency. And slowly, we lose touch with the things that bring us peace, joy, and meaning.

That’s when the real cost shows up.

We become leaders who are respected but feel alone. Healthcare workers who are great at their jobs but drained. Parents or partners who are present, but distant. We care for everyone else but forget to care for ourselves. I know this because I have been there: carrying work performance stress to my kids or not being present in meetings because I feel like I am failing at managing my house.

But here’s the truth: your value isn’t in how well you do things. It’s in who you already are.

To live a life that’s not just sustainable—but also satisfying—we need more than hard work and success. We need emotional resilience: the ability to stay grounded, connected, and strong even when life gets hard. Really, the key to emotional resilience is the ability to accept grace.

Moving from emotional fragility to emotional resilience is the key to staying well in a demanding field like healthcare. It helps you stay present in your relationships, enjoy your work more, and remember why you chose this path in the first place.

Want to know where you stand? Take our free Emotional Fragility Quiz—a simple way to check in with yourself and start building more resilience in your life.

👉 [Take the free quiz now]

You don’t have to carry everything alone. And you don’t have to be perfect to be enough.

by Dr. Uejin Kim, MD

www.uejinkim.com

 

O’Connor, R. C. (2010). The relations between perfectionism and suicidality: A systematic review. Suicide and Life‑Threatening Behavior, 37(6), 698–714. https://doi.org/10.1521/suli.2007.37.6.698 Wiley Online LibraryUniversity of Stirling

Smith, M. M., Sherry, S. B., Chen, S., Saklofske, D. H., Mushquash, C., Flett, G. L., & Hewitt, P. L. (2017). The perniciousness of perfectionism: A meta‑analytic review of the perfectionism–suicide relationship. Journal of Personality. Advance online publication. https://doi.org/10.1111/jopy.12333 ray.yorksj.ac.ukPubMed

Hewitt, P. L., Flett, G. L., & Turnbull‑Donovan, W. (1992). Perfectionism and suicide potential. Journal of Abnormal Psychology, 101(4), 602–607. (Note: Publication details match findings; but source indicates the study on psychiatric patients) PubMed

Authors, (Year). Perfectionism, prospective near‑term suicidal thoughts and behaviors: The mediation of fear of humiliation and suicide crisis syndrome. International Journal of Environmental Research and Public Health, 17(4), Article 1424. https://doi.org/10.3390/ijerph17041424 PubMedMDPI

Etherson, M. E., Smith, M. M., Hill, A. P., Sherry, S. B., Curran, T., Flett, G. L., & Hewitt, P. L. (2024). Perfectionism, feelings of not mattering, and suicide ideation: An integrated test of the Perfectionism Social Disconnection Model and the Existential Model of Perfectionism. Journal of Psychoeducational Assessment, 42(6), 725–742. https://doi.org/10.1177/07342829241237421 SAGE Journalsray.yorksj.ac.uk