Battle of the Bots intensifies over denials
Healthcare payer claim denials are getting smaller, sneakier and faster. The battle of the bots over healthcare claims payment delivered record blows in 2025, with initial denials sometimes occurring within seconds of submission.a “Payers are becoming more sophisticated in their use of AI, and the denials are coming faster than we can keep up,” said…
Affordability under pressure: How hospitals are responding to rising patient cost burdens
When the initial shock of a Stage 4 colorectal cancer diagnosis wore off, Tampa Bay, Florida, resident Tim McDonald, 57, says a new devastation quickly set in: The cost of what it might take to save his life. McDonald has been outspoken about his experience in dealing with colorectal cancer and has become a strong advocate for education…
Tips for healthcare leaders on choosing the right RCM partner
Read about how one company enables healthcare leaders to focus on strategic priorities — expanding access to care, improving patient experience and sustaining financial health.
7 Steps to Success: Proactive Denials Management and Prevention
Research demonstrates that 90% of denials are avoidable. Download this eBook to learn about a strategic approach to shift from reactive recovery to proactive prevention.
Healthcare providers debate ways to offer patients manageable payment options
Check out the top insights from several healthcare finance executives who discussed their work in improving the patient financial experience and the growing role of patient financing.
How price transparency improves patient trust and collection rates
Price transparency in healthcare has moved well beyond being a regulatory obligation. In today’s consumer-driven environment, it has become a strategic capability that directly influences patient trust, access to care and revenue cycle performance. Patients increasingly expect clear, upfront information about what care will cost, what their insurance will cover and what they will be…
Susan Dentzer: Extending the ACA’s enhance premium tax credits — It’s the right thing to do
Winston Churchill is often credited with the assertion that Americans always do the right thing after exhausting all the other alternatives. Whether or not he actually said it, current U.S. healthcare policy underscores the underlying truth. The latest evidence is Congress’s inability to broker an extension of the enhanced premium tax credits (EPTCs) established under the ACA,…
Interactive Guide: 2026 is a Revenue Cliff for Hospitals. Are You Exposed?
RCM leaders and CFOs can download this guide for a practical, data-driven plan to close front-end gaps, automate workflows, and recover lost revenue—before risk turns into write-offs.
The WISeR prior authorization model for Medicare is set to pose challenges for hospitals
Hospitals and other healthcare providers soon will have a larger set of prior authorization requirements to account for in traditional Medicare as a new pilot model gets underway. Technology companies participating in the six-year, six-state Wasteful and Inappropriate Service Reduction (WISeR) Model are supposed to have their portals up and running by Jan. 5, with…
More hospitals adopt tech-driven screenings for charity care eligibility
Hospitals are increasingly implementing technology-driven screenings to automatically qualify patients for charity care, as recommended by the American Hospital Association, in order to reduce administrative burdens and ensure all eligible patients receive financial assistance.