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…
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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…
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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…
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Denials remain on the rise as errors become harder to catch early and eligibility rechecks take longer. This 2025 State of Claims report — based on a survey of healthcare finance and revenue cycle professionals — identifies what is driving…
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Fragmented tech stacks are draining hospital margins — but systems like MUSC Health, Montage Health, Care New England and Austin Regional Clinic are proving consolidation doesn’t just reduce waste. It unlocks real ROI. This CFO-focused report shows how leading organizations…
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Hospitals aren’t just healthcare providers — they’re among the largest employers in their communities. But as workforce demands grow and burnout intensifies, health systems must rethink how to support finance and RCM teams while staying financially agile. This whitepaper outlines…
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Hospitals are under pressure to “do more with less,” yet AP and finance teams are still chasing receipts, reconciling late expenses and managing fragmented systems. Without real-time visibility, budgets drift off track and compliance gaps grow. Twenty-two percent of healthcare…
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M&A may seem like the obvious growth move — but in today’s climate, the margin for error is razor-thin. Economic pressures, regulatory shifts and evolving tax policy are reshaping how hospitals and health systems must evaluate deals. This whitepaper outlines…
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Revenue cycle leaders are under immense pressure to prevent denials, improve payment accuracy and relieve administrative burden. But manual workflows can’t keep pace with the demands of modern RCM. This new Forrester Consulting report reveals how health systems using AI…
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Recent CMS changes removed over 2,000 diagnostic codes and introduced 200-plus that don’t map to reimbursement under previous rules. For health systems and ACOs, missing these changes can translate into massive revenue losses and poor risk scoring. Health systems like…
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