Denial rates and patient collection rates are both trending in the wrong direction, according to data from Kodiak Solutions.
An analysis of benchmarking data from Kodiak Solutions reveals three trends that revenue cycle leaders should track in 2025.
Initial and final denial rates have steadily creeped higher over the past five years. Denials are most common for patients in commercial and Medicare Advantage health plans. Growth in denial rates for these types of plans has ticked upward while rates for other types of plans have largely held steady. Additionally, the Kodiak data shows that patient responsiblity for payments increased as a percentage of allowed amounts, but that patient collection rates have fallen.
See more of the data below. Click here to read the accompanying article.
Luke Gale is the revenue cycle editor for HealthLeaders.
KEY TAKEAWAYS
Commercially insured patient collection rates fell approximately three percentage points from 2023 to 2024.
Claim denials increased from 10.2 percent in 2020 to 11.8 percent in 2024.