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...
How UHS Strengthened Financial Performance Through Utilization ManagementUtilization management is no longer a background function. For health systems navigating rising denial rates, shifting payer mix, and mounting administrative complexity, it has become one of the...
Payers Are Not Making Mistakes. Is Your Strategy Keeping Up? Hospitals and health systems are losing money on claims they believed were billed correctly. A claim comes back lower. The case lands on a downgraded DRG. The gap disappears into a pattern that continues to...
