Operational resilience is the revenue cycle management imperative of the OBBBA era
The One Big Beautiful Bill Act (OBBBA) has altered Medicaid eligibility in ways hospitals can no longer treat as a background policy issue. Reverification of Medicaid coverage now happens so frequently that patients lose coverage for administrative reasons that have nothing to do with whether they actually qualify. Much of the industry dialogue has centered…
Financial Transformation that Lasts
The healthcare finance industry has its share of challenges. With this white paper, learn to navigate margin improvement, a clearer and more compassionate patient financial experience, and stronger payer relationships that support long-term growth.
Reimagining the patient financial experience
Patients judge their healthcare experience long before they see a clinician. In an era of consumer-driven healthcare, transparency, affordability and ease of use are now as critical as clinical outcomes. Yet, while the care experience has evolved, the financial journey still lags behind. Hospitals that elevate the patient financial experience — making it as seamless,…
Survey of revenue cycle executives points to the need to move from reactive to proactive clinical documentation
Review this report to learn how to swap out the processes and technologies that don’t support an effective, sustainable approach to clinical documentation. Revenue cycle teams will get key takeaways to rethink documentation as a proactive strategy rather than a back-end fix.
Tailored solutions enhance healthcare operations and patient satisfaction
When leveraging advanced technologies, healthcare organizations can address their most pressing challenges, such as revenue cycle inefficiencies, workforce shortages and regulatory complexities. Read more about tailored solutions that handle the complexities of financial and operational processes.
Providers should evaluate vendors on alignment with mission and long-term goals
Review how one company's Complete Business Office (CBO) services optimize the revenue cycle from end–to-end to relieve health systems' pressure of fewer resources, staffing shortages, rising costs, payer complexity and regulatory demands.
Buried Revenue: How to Recover Cash Hiding in Your Paper and PDF Correspondence
This how-to guide gives healthcare RCM leaders practical guidance on how to use modern, AI-powered solutions.
Execution, alignment and accountability define the next era of healthcare leadership
Hospitals and health systems are operating under extraordinary pressure. Leaders are managing cost, integrating AI, addressing workforce shortages and improving payer relationships, often all at once. The HFMA report the Healthcare C-suite of the Future highlights the fact that many executives feel underprepared for the pace of change, and that concern is understandable. The challenge…
Automation with integrity: The real work behind healthcare’s digital transformation
HFMA’s Healthcare C-suite of the Future report captures precisely where healthcare leadership must go, and it’s a direction we at Healthrise have been deeply invested in for years. The industry’s challenges are real: unsustainable costs, workforce strain and mounting pressures on ROI. Yet the transformation underway is also an extraordinary opportunity if leaders can align…
Redesigning denials management in the OBBBA era
Under OBBBA, executives face denials as a continuous operational and financial pressure. Traditional reactive approaches — reviewing and appealing after denials occur — are no longer sustainable. The organizations that succeed in this new era will use predictive analytics, automation and disciplined processes to prevent denials before they happen. The problem with the traditional model For decades,…