denials
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Revenue Cycle
What Revenue Cycle Leaders Are Reading: Our Top 6 Stories (So Far) from 2025
From relentless claim denials and payer pressures to policy debates around prior authorization and the 340B program, this mid-year briefing...
CFO
4 Tips for Payer Collaboration from HFMA
Here's how CFOs can keep pace with, or even get ahead of, payers.
CFO
Live From HFMA: 3 Takeaways for CFOs (So Far)
At HFMA, themes of payer collaboration, operational leadership, and smarter investments are dominating the conversation.
Revenue Cycle
Infographic: How Top Performers Compare in the Revenue Cycle
The numbers are in, revealing a clear performance gap between providers on eight KPIs. See the metrics that separate top-performing...
Revenue Cycle
Quick Tips to Improve Rev Cycle Performance Against 8 KPIs
The latest data from Kodiak Solutions shows significant variation among provider organizations in their performance against key performance indicators (KPIs),...
Revenue Cycle
Communication Strategies Help to Overcome Prior Authorization Tech Hurdles
Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those...
Revenue Cycle
Infographic: A Quick Guide to the Reducing Medically Unnecessary Delays in Care Act of 2025
The House of Representatives is considering legislation that would reform the way payers use prior authorization. Which payers would the...
Revenue Cycle
Congress Considers Legislation to Restrict Prior Authorizations
A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior...
CFO
Here's How CFOs Are Tackling Cost Containment
"Proactive not reactive" cost containment strategies are vital for finance executives.
Pharma
MT's Small Pharmacies Behind Bill to Corral PBMs
The measure includes a half-dozen restrictions on other PBM practices the smaller pharmacies call anticompetitive.
Payer
'They Won't Help Me': Sickest Patients Face Insurance Denials Despite Policy Fixes
Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.
Revenue Cycle
Infographic: 3 Revenue Cycle Trends to Watch in 2025
Denial rates and patient collection rates are both trending in the wrong direction, according to data from Kodiak Solutions.