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.
CMS distributes $10 billion for states to use to improve rural health
CMS awarded states $10 billion in rural health funding for 2026, implementing a widely anticipated provision of the legislation known as the One Big Beautiful Bill Act (OBBBA). The Rural Health Transformation Program (RHTP) funding is intended to help rural healthcare providers succeed amid the projected cutbacks in federal Medicaid funding over the next decade…
What healthcare investors value most today
The healthcare municipal market continues to navigate a mix of structural headwinds, evolving risk appetites and a shifting credit landscape. An investor conversation at the Kaufman Hall Healthcare Leadership Conference in October offers insights as to where investors are focused today and what borrowers can do to meet the market on favorable terms. Three themes…
News Briefs: ACA subsidies in limbo after government funding deal
After Congress ended the longest federal government shutdown on record at 43 days, the future of enhanced subsidies under the Affordable Care Act (ACA) remained unresolved. The shutdown officially ended Nov. 12, three days after eight members of the Senate Democratic caucus joined Republicans to help pass a continuing resolution that maintains spending through Jan.…
Ken Perez: The tariffs-driven trade war and its implications for healthcare
Given President Donald Trump’s use of tariffs and their significant worldwide economic impact, it’s not surprising that the word tariff has been considered a candidate for Word of the Year.a Whether or not you agree with Trump’s tariff policy, the United States has a powerful ability to impose tariffs, rooted in the immensity of the…
David Johnson: Why interoperability is causing Epic to confront a profound identity crisis
Epic currently is the nation’s dominant supplier of electronic health records (EHRs) — the data backbone upon which the U.S. healthcare system operates. The company’s market position has long appeared unassailable. Upon closer inspection, however, Epic’s business model contains the seeds of its own diminution. The company aspires to be a system of record for…
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.
How principles of 4DX helped a health system transform its revenue cycle
On observing successful applications of the 4 Disciplines of Execution (4DX) across multiple industries, Emory Healthcare undertook an innovative approach in strategically using the performance management tool to solve revenue cycle challenges. Health systems nationwide face profound challenges in the revenue cycle, including those posed by preauthorizations, coding intricacies and payer denials, where solutions often…