revenue cycle

From denials and payer plans for unilateral downcoding to 340B legal battles, the most-read stories of 2025 reveal a revenue...

From the denials to critical updates on 340B and prior authorization, here is a look back at the trends and...

Kaufman Hall?s analysis spotlights the financial challenges that defined the year and the priorities shaping strategies for 2026.

As the January 1 implementation date approaches, here is a quick guide to the controversial new rebate model for the...

For select conditions, Aetna is introducing processes for authorizations that integrate pharmacy prescriptions and medical procedures into a single clinical...

Bill Arneson, Director of Business Operational Transformation at Moffitt Cancer Center, argues that while consumer AI moves fast, the business...

The AHA and several safety-net providers argue that an upcoming mandatory rebate pilot violates administrative law, imposes millions in costs,...

Three expert witnesses at a recent Senate HELP Committee hearing outlined weaknesses and misaligned incentives driving growth in the 340B...

A new KFF analysis reveals that retrospective chart reviews are a primary driver of risk-adjusted payments for Medicare Advantage insurers,...

Allyson Keller, Vice President of the Patient Connection Center at Piedmont Health and a participant in the HealthLeaders Revenue Cycle...

Blake Evans, System VP of Revenue Cycle at Rush Health, is driving consolidation of fragmented operations by prioritizing workforce engagement...

Faced with $6 million in old AR and staggering long-term debt, Three Rivers Health gained stable financial footing by outsourcing...