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The New Economics of Healthcare Reimbursement
The New Economics of Healthcare Reimbursement

The New Economics of Healthcare Reimbursement What’s Driving the Pressure on Healthcare Reimbursement Models? The traditional healthcare reimbursement model is under pressure and health system leaders know it. National health expenditures grew 7.2% in 2024, reaching...

Hospitals Race to Keep Pace as Payers and AI Reshape Denials
Hospitals Race to Keep Pace as Payers and AI Reshape Denials

Hospitals Race to Keep Pace as Payers and AI Reshape Denials Hospitals Race to Keep Pace as Payers and AI Reshape Denials  Denials have become one of the defining pressure points in healthcare finance. Across hospitals and health systems, claims teams are balancing...

How Hospital Leaders Can Turn Data into Stronger Contracts
How Hospital Leaders Can Turn Data into Stronger Contracts

How Hospital Leaders Can Turn Data into Stronger Contracts Data analytics now play a central role in healthcare contract negotiations, shaping not just how contracts are structured but how well they hold up once they are in practice.   There is little margin for...

The New Economics of Healthcare Reimbursement
The New Economics of Healthcare Reimbursement

The New Economics of Healthcare Reimbursement What’s Driving the Pressure on Healthcare Reimbursement Models? The traditional healthcare reimbursement model is under pressure and health system leaders know it. National health expenditures grew 7.2% in 2024, reaching...

Root Cause to Revenue: Winning the Battle Against DRG Downgrades
Root Cause to Revenue: Winning the Battle Against DRG Downgrades

Root Cause to Revenue: Winning the Battle Against DRG Downgrades  07.29.2026 11:00 AM PT Executive Vice President Vice President, Denials Management ServicesHospitals and health systems face mounting revenue challenges from denials to evolving payer tactics, making...

Hidden Denials: The Revenue Loss Your 835 Remittance Will Never Show You
Hidden Denials: The Revenue Loss Your 835 Remittance Will Never Show You

Hidden Denials: The Revenue Loss Your 835 Will Never Show You Most health system revenue cycle leaders believe they have a handle on their denials problem. They track denials rates. They report on overturn percentages. They run monthly dashboards that show the total...

Hospitals Race to Keep Pace as Payers and AI Reshape Denials
Hospitals Race to Keep Pace as Payers and AI Reshape Denials

Hospitals Race to Keep Pace as Payers and AI Reshape Denials Hospitals Race to Keep Pace as Payers and AI Reshape Denials  Denials have become one of the defining pressure points in healthcare finance. Across hospitals and health systems, claims teams are balancing...

Medical Coding’s AI Moment Has Arrived
Medical Coding’s AI Moment Has Arrived

Medical Coding’s AI Moment Has Arrived How Medical Coding Automation Is Reshaping Revenue Cycle Performance  Despite the attention surrounding AI in healthcare, much of medical coding automation still relies on highly manual workflows. Coders continue to work through...

Hospitals Can’t Afford to Treat Self-Pay as an Afterthought
Hospitals Can’t Afford to Treat Self-Pay as an Afterthought

Hospitals Can’t Afford to Treat Self-Pay as an Afterthought Where a patient chooses to seek care is no longer shaped by clinical reputation alone. Financial experience, from the first price estimate to the final statement, now factors into that decision. For...

How Hospital Leaders Can Turn Data into Stronger Contracts
How Hospital Leaders Can Turn Data into Stronger Contracts

How Hospital Leaders Can Turn Data into Stronger Contracts Data analytics now play a central role in healthcare contract negotiations, shaping not just how contracts are structured but how well they hold up once they are in practice.   There is little margin for...

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The New Payer Contracts: Why Rate Increases Are the Wrong Fight
The New Payer Contracts: Why Rate Increases Are the Wrong Fight

For decades, managed care contracting has been organized around a single objective: get a better rate. Health system negotiating teams prepare detailed market analyses, benchmark against regional competitors, and enter renewal cycles focused almost entirely on the...

Fee-for-Service and Value-Based Care, What Hospital Leaders Should Know
Fee-for-Service and Value-Based Care, What Hospital Leaders Should Know

Financial pressures across healthcare continue to intensify. Rising costs, tighter margins, and growing expectations around quality and outcomes are forcing organizations to take a closer look at fee-for-service (FFS) and value-based care (VBC), including how care is...