HFMA
About the Author
HFMA
Latest Work
Highlights of the Administration’s FY 2027 Budget
HFMA provides highlights of healthcare-related discretionary funding levels included in the President’s Discretionary Budget Request for FY 2027.
FY 2027 Skilled Nursing Facility PPS Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule updating for FY 2027 the Medicare skilled nursing facility (SNF) payment rates, SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.
FY 2027 Hospice Payment Rate Update Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule updating the Medicare hospice payment rates, wage index and Hospital Quality Reporting Program for FY 2027.
FY 2027 Inpatient Psychiatric Facilities PPS Proposed Rule Summary
HFMA presents a detailed summary of the FY 2027 Inpatient Psychiatric Facilities Prospective Payment System proposed rule, published in the April 7, 2026, Federal Register.
Predict, prevent, perform: The AI evolution of denials management
Healthcare providers continue to face escalating denial rates that erode financial performance and operational capacity. In 2025, denial rates averaged near 12%, with many organizations experiencing even higher volumes — each percentage point representing millions of dollars tied up in unresolved claims. The growing volume and complexity of denials are no longer manageable with legacy,…
The KPIs that define revenue cycle excellence
Revenue cycle leaders face significant challenges with shrinking reimbursements, rising denials, and operational complexities, requiring more than basic reporting for improvement. The HFMA MAP Keys provide a standardized framework for measuring performance, helping organizations align on key metrics to drive actionable insights and benchmark revenue cycle management effectively.
FY 2027 Inpatient Rehabilitation Facility PPS Proposed Rule Summary
HFMA presents a detailed summary of the FY 2027 proposed rule updating the Medicare inpatient rehabilitation facility prospective payment system.
Automated payment reconciliation emerges as critical gap in healthcare revenue cycle
Organizations of all sizes are actively working to improve processes through increased automation, but each market segment has its own challenges. Read this report to discover the findings.
RCM recalibration: Patient financial experience captures leaders’ top focus
A recent survey shows that healthcare finance leaders are shifting their priorities and investment strategies to connect patient loyalty, RCM efficiency and automation into one cohesive strategy for operational resilience.
Revenue cycle as enterprise infrastructure: Building financial resilience in 2026
Healthcare finance leaders are confronting a new reality: Revenue cycle performance is no longer just an operational task — it’s a central driver of financial sustainability and organizational resilience. Rising payer complexity, increasing patient financial responsibility and the persistent pressure of workforce shortages are forcing a strategic reappraisal of how revenue operations are structured and…