Supporting Our Clients Against MA Plans’ 340B Inequities
Providers are being ignored by contracted and non-contracted MA plans in their efforts to obtain a remedy for 340B drug underpayments. … Read More
November 13, 2024
Industry Trends
Ideas, insights + industry updates
3 Proactive Steps to Counteract Payer Denials and Delays
Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy. … Read More
November 5, 2024
An Open Letter on UnitedHealthcare’s Line Item Denials Policy
UHC’s line item denials policy raises more questions than answers and significant concerns for our healthcare partners and their patients. … Read More
October 28, 2024
Recent ACA Plan Growth Holds Risks + Opportunities for Providers
Healthcare providers must advocate for the extension of ACA plan enhanced subsidies to protect tenuous financial margins. … Read More
October 1, 2024
An End-to-End RCM Partner Is Not a Traditional Vendor
An end-to-end RCM partner shapes strategy throughout the revenue cycle, while traditional vendors operate at a task level. … Read More
August 29, 2024
Managing Payer Friction Through Contract Negotiations
The fraught and evolving dynamics between payers and providers ultimately impact care delivery for patients … Read More
May 23, 2024
AI in Action: Revenue Cycle Management
There’s great opportunity for AI in healthcare RCM where models can be fine-tuned to reduce friction and more accurately predict outcomes. … Read More
April 11, 2024
Making ICHRA Plans Work for Providers and Patients
With the increased adoption of ICHRAs, now is the time for providers to proactively rethink their contracting strategies with exchange plans. … Read More
February 6, 2024
Opt for Outcomes with End-to-End RCM Vendor Selection
When it comes to selecting the right revenue cycle management (RCM) partner, there are crucial factors beyond cost considerations. … Read More
January 24, 2024
Revenue Cycle Managed Services Fill In-House Gaps
By partnering externally for RCM support, organizations gain efficiency, increase agility and are better able to use limited resources. … Read More
January 10, 2024