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…
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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…
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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…
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Hospitals are under pressure to “do more with less,” yet AP and finance teams are still chasing receipts, reconciling late expenses and managing fragmented systems. Without real-time visibility, budgets drift off track and compliance gaps grow. Twenty-two percent of healthcare…
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M&A may seem like the obvious growth move — but in today’s climate, the margin for error is razor-thin. Economic pressures, regulatory shifts and evolving tax policy are reshaping how hospitals and health systems must evaluate deals. This whitepaper outlines…
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Revenue cycle leaders are under immense pressure to prevent denials, improve payment accuracy and relieve administrative burden. But manual workflows can’t keep pace with the demands of modern RCM. This new Forrester Consulting report reveals how health systems using AI…
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Recent CMS changes removed over 2,000 diagnostic codes and introduced 200-plus that don’t map to reimbursement under previous rules. For health systems and ACOs, missing these changes can translate into massive revenue losses and poor risk scoring. Health systems like…
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Today’s healthcare environment is shaped by volatility: policy shocks, financial whiplash and compressed timelines. The One Big Beautiful Bill Act accelerated that change — underscoring the need for planning tools that are faster, more integrated, and built for dynamic decision-making.…
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For many community hospitals, revenue cycle management is becoming unsustainable — with outdated billing workflows, rising denial rates and staffing gaps straining both margins and mission. Outsourcing it isn’t a new concept, but few hospitals have used it as a…
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Traditional, in-house revenue cycle management is buckling under the pressure of shrinking margins and persistent talent shortages. Without decisive action, hospitals risk rising denials, slower reimbursement and frustrated patients. This report, based on survey insights from 100 health system finance…
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