Finance

New Medicaid work requirements. Tighter eligibility redeterminations. Steep funding cuts. The One Big Beautiful Bill Act could reshape hospital and payer finances, especially for rural and safety-net providers. While many are still waiting for federal guidance, leading organizations are already…

Nearly 40% of hospitals are operating at a deficit and face a perfect storm: shrinking reimbursements, rising patient out-of-pocket costs and new regulations that restrict provider collections. Traditional billing models are buckling under the weight of manual processes, poor communication…

Revenue cycle teams have access to more data than ever. But siloed systems, delayed reports and manual processes are leaving leaders stuck — unable to connect insights to action. This guide shows how RCM teams can use healthcare payment analytics…

Denials are rising fast, now reaching 10–15% of claims and costing providers $20 billion annually. This whitepaper spotlights how leading systems are shifting to denial prevention: investing in documentation integrity, embedding physician advisors at key decision points and applying analytics…

Precision medicine is delivering measurable performance in value-based care, but the returns often lag the costs.  This whitepaper lays out how health system executives and value-based care leaders can advance the clinical and financial benefits of precision medicine. It details…

Revenue cycle teams focus on open balances — but what about the accounts marked as paid? Across managed care contracts, these “zero-balance” accounts often hide underpayments no one is tracking. The result: $1-3 million left uncollected for every $100 million…

Payers are using AI to automate and deny claims faster than ever. Meanwhile, only 8% of providers use AI in denials management. This whitepaper breaks down how leading health systems including Banner Health and Houston Methodist are closing the gap…

Denials remain on the rise as errors become harder to catch early and eligibility rechecks take longer. This 2025 State of Claims report — based on a survey of healthcare finance and revenue cycle professionals — identifies what is driving…

Fragmented tech stacks are draining hospital margins — but systems like MUSC Health, Montage Health, Care New England and Austin Regional Clinic are proving consolidation doesn’t just reduce waste. It unlocks real ROI. This CFO-focused report shows how leading organizations…

Hospitals aren’t just healthcare providers — they’re among the largest employers in their communities. But as workforce demands grow and burnout intensifies, health systems must rethink how to support finance and RCM teams while staying financially agile. This whitepaper outlines…