David Johnson: A case study in today’s revenue cycle dystopia
Vendor pronouncements that AI technologies can transform the healthcare revenue cycle are commonplace and overblown. While both health systems and suppliers want to believe that AI can be their savior, there are limits to how it can improve payment mechanics between commercial health insurers and providers. No revenue cycle company flew closer to the sun…
The art of digital delegation
Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.
Ken Perez: Trump’s second administration promises a shakeup around health policy
What a difference eight years can make. On Jan. 20, 2017, his first day in office as the nation’s 45th president, Donald Trump issued just one executive order (EO), scaling back parts of the Affordable Care Act (ACA). It set the stage for Congress’ subsequent repeal, via the Tax Cuts and Jobs Act of 2017,…
Capital allocation and planning for a stabilizing healthcare outlook
The post-COVID-19 period brought unprecedented challenges to the healthcare sector, as economic pressures, structural shifts and regulatory pressures resulted in declining financial performance. More recently, health system performance has begun to stabilize, as reflected in recent Kaufman Hall National Hospital Flash Reports finding financial and operational improvements through November 2024. Nonetheless, the new level…
Healthcare developments in a second Trump term
Nick Hut and Shawn Stack discuss early developments in healthcare policy now that Donald Trump has taken office for a second time.
News Briefs: Year-end spending bill ensures no loss of funding for Medicaid DSH payments
Year-end spending bill ensures no loss of funding for Medicaid DSH payments. The continuing resolution (CR) to keep the federal government funded through mid-March includes key healthcare provisions. Passed Dec. 20 as essentially the last act of the 118th Congress, the CR ensured an $8 billion cut to Medicaid disproportionate share hospital (DSH) payments did…
Where do we go now? Action needed to address public dissatisfaction with U.S. healthcare
Healthcare providers are examining their approaches to understanding and responding to mounting discontent, including addressing access, affordability and elimination of friction, as part of their responsibility to get healthcare right.
How healthcare leaders can automate workflows and improve financial performance
1. How do you help healthcare organizations navigate the biggest challenges in healthcare? Sage Intacct allows healthcare finance leaders to eliminate manual processes, automate workflows and improve financial performance across the organization. Sage enables multi-entity healthcare organizations to consolidate hundreds of entities in minutes. Not only does this simplify intercompany accounting, but it can also…
David Johnson: Consumerism introduces itself to U.S. healthcare
Unlike other consumer people-oriented businesses, healthcare essentially operates independently of its end-users (also called patients, consumers and/or customers). Individuals engage providers to diagnose and treat their ailments, while third parties largely pay for any services rendered. This convoluted relationship among providers, patients and payers creates two fundamental anomalies within healthcare business models that distort the…
Hospital financials projected to continue trending upward despite various X-factors
Hospitals are coming off a year of improved stability that should continue even with looming questions and challenges for 2025, according to recent data and insights. As reported in December, Fitch Ratings upgraded the sector outlook (login required) for not-for-profit (NFP) hospitals to neutral/stable after more than two years in which the outlook was categorized…