The One Big Beautiful Bill Act (OBBBA) will slash Medicaid spending by $900 billion over the next decade with an estimated 7.5 million people losing coverage. These shifts will hit health systems hard, especially those serving Medicaid expansion and undocumented…
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The One Big Beautiful Bill Act is poised to slash Medicaid revenue by $25 billion annually, a 70% drop in operating margin for the average hospital. With redeterminations moving to every 6 months, patients are losing coverage. Payers are escalating…
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UAB Selma Family Medicine Center, like many practices, struggled to balance care delivery and financial stability. A small billing team faced mounting denials, and accounts receivable days ballooned to 164. Staff were burned out. Revenue was stuck. And leaders couldn’t…
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Health systems complete more than 43 prior authorizations (PA) per physician each week, a 12-hour paper trail that delays care and drains staff time. By 2030, federal policy, payer requirements and maturing AI tools will reshape how organizations manage PA.…
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Nearly half of hospital revenue cycle leaders say denials are their top financial concern — outranking labor shortages, reimbursement cuts and analytics gaps. While many teams focus on rework, high-performing hospitals are looking upstream. This short report offers 10 strategies…
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How proactive CFOs are protecting revenue, strengthening compliance, and preparing for sweeping Medicaid changes Q1 2026 is coming fast—and with it, Medicaid cuts, tighter margins, and new documentation and compliance requirements. Hospitals in ACA expansion states and rural communities face…
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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…
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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…
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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…
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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…
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