Finance

Health systems complete more than 43 prior authorizations (PA) per physician each week, a 12-hour paper trail that delays care and drains staff time. By 2030, federal policy, payer requirements and maturing AI tools will reshape how organizations manage PA.…

Nearly half of hospital revenue cycle leaders say denials are their top financial concern — outranking labor shortages, reimbursement cuts and analytics gaps. While many teams focus on rework, high-performing hospitals are looking upstream. This short report offers 10 strategies…

How proactive CFOs are protecting revenue, strengthening compliance, and preparing for sweeping Medicaid changes Q1 2026 is coming fast—and with it, Medicaid cuts, tighter margins, and new documentation and compliance requirements. Hospitals in ACA expansion states and rural communities face…

New Medicaid work requirements. Tighter eligibility redeterminations. Steep funding cuts. The One Big Beautiful Bill Act could reshape hospital and payer finances, especially for rural and safety-net providers. While many are still waiting for federal guidance, leading organizations are already…

Nearly 40% of hospitals are operating at a deficit and face a perfect storm: shrinking reimbursements, rising patient out-of-pocket costs and new regulations that restrict provider collections. Traditional billing models are buckling under the weight of manual processes, poor communication…

Revenue cycle teams have access to more data than ever. But siloed systems, delayed reports and manual processes are leaving leaders stuck — unable to connect insights to action. This guide shows how RCM teams can use healthcare payment analytics…

Denials are rising fast, now reaching 10–15% of claims and costing providers $20 billion annually. This whitepaper spotlights how leading systems are shifting to denial prevention: investing in documentation integrity, embedding physician advisors at key decision points and applying analytics…

Precision medicine is delivering measurable performance in value-based care, but the returns often lag the costs.  This whitepaper lays out how health system executives and value-based care leaders can advance the clinical and financial benefits of precision medicine. It details…

Revenue cycle teams focus on open balances — but what about the accounts marked as paid? Across managed care contracts, these “zero-balance” accounts often hide underpayments no one is tracking. The result: $1-3 million left uncollected for every $100 million…

Payers are using AI to automate and deny claims faster than ever. Meanwhile, only 8% of providers use AI in denials management. This whitepaper breaks down how leading health systems including Banner Health and Houston Methodist are closing the gap…