From data capture to denial prevention: Strengthen patient access upstream
Revenue loss is often discovered after adjudication, but the conditions that created it may have entered the account days or weeks earlier. An outdated coverage record, missing authorization or unresolved identity mismatch can pass through patient access and surface only when payment is delayed. By then, the organization is managing rework rather than preventing it.…
Overcoming mid-revenue cycle bottlenecks: Leaders share tips for improvement
Several healthcare industry leaders were brought together to discuss the challenges they’re facing within the mid-revenue cycle. Dive into this roundtable that explores how these leaders are using AI and other solutions to uncover bottlenecks and future-proof the revenue cycle while minimizing administrative burden.
2026 Revenue Cycle Benchmark Report: Where Leading Providers Are Adapting and Where They’re Struggling
Based on a survey of 102 healthcare leaders, this report examines key revenue cycle challenges, including denials, audits, and staffing shortages. This white paper also explores how providers are using AI, automation, and outsourcing to improve performance. Download to learn more.
Beyond outsourcing: The strategic value of global RCM
Revenue cycle management is no longer just billing. For hospitals and health systems, it now directly shapes financial performance, operational stability and the ability to invest in patient care. Pressure is coming from every direction. Payer rules continue to change. Prior authorization remains burdensome. Documentation standards are more demanding. At the same time, patients are…
RCM Staffing Benchmarks: What High-Performing Revenue Cycle Teams Cost and Deliver
Discover how to benchmark the true cost of RCM staffing, compare onshore and offshore models, and measure key revenue cycle performance metrics. This white paper provides a practical framework to build a data-driven business case for improving efficiency and reducing costs.
Medicare skin substitute reimbursement changes have raised provider risks
A formerly high-revenue healthcare service has been diminished on several fronts in 2026. Medicare Part B spending on skin substitutes increased by 640% between 2022 and 2024, reaching nearly $3 billion per quarter, according to a government report. Steps taken by CMS and policymakers to counter that trend include an overhauled payment system and an…
Medical management is too often overlooked in hospitals’ workforce strategy
Hospital leaders understand better than most that health is not abstract. Every day, they see what happens when chronic conditions go unmanaged, behavioral health needs go unsupported and patients enter the system later than they should. Yet, when hospitals look inward at their own workforce, medical management is still too often treated as a benefits…
Why hospitals and health systems are trimming vendors from their AI roster
Hospitals and health systems’ relationship with AI is getting more refined as industry executives figure out what they want and don’t want from the software. For hospital and health system executives, that means identifying when their ROI in a given AI application is good enough to keep it in use, and depending on the use,…
Modernize Your Operations Model for RCM Success
Learn how leading healthcare organizations are rethinking RCM with a hybrid model that balances cost, quality, and scalability. Download this white paper for expert insights and a practical roadmap to stronger financial performance.
Finding the right 5%: How predictive analytics is reshaping population health management
Healthcare organizations face a familiar challenge: identifying which members are most likely to experience clinical deterioration before costly complications occur. As financial pressures intensify and workforce shortages continue, health plans, employers and provider organizations must allocate limited care management resources with increasing precision. The question is no longer whether organizations should stratify risk — it…