Finance

Denials are rising. Work is piling up. And hiring more staff isn’t a sustainable solution.  For today’s revenue leaders, small optimizations aren’t enough. It takes a new model — one where AI agents, robots and staff operate in sync to…

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…

Prior authorization has long been one of healthcare’s most visible administrative burdens. Manual workflows, inconsistent payer rules and opaque timelines slow care and strain patient access teams. That model is about to change. By 2030, federal policy, standardized data exchange…

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…

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…

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…

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…

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…

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…