denials
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Revenue Cycle
Cash Flow Improves Despite $48.4 Billion in Revenue Leakage in 2025
While hospital cash flow improved in 2025, health systems lost a staggering $48.4 billion in revenue leakage due to highly...
HLM Cover Stories
The Denials Tsunami: Why Payers Are Winning and How Hospitals Fight Back
Escalating payer denials, revenue leakage, and aggressive tactics have forced health systems to rethink the revenue cycle.
Revenue Cycle
HL Shorts: Winning the Revenue Cycle on the Front End
Mercy's Chief Revenue Cycle Officer explains how a focus on front-end clearance helps to protect patients from administrative friction and...
Revenue Cycle
Elevating the Revenue Cycle to the C-Suite at UHS
UHS' CRO is transforming operations by staying true to a foundational EHR build, embedding physician advisors to fight denials, and...
Payer
After A Death Following Insurance Denials, West Virginia Tackles Prior Authorization
Consumers, patient advocates, and medical providers have expressed skepticism that companies will follow through on their promises.
Revenue Cycle
Navigating the Intersection of Care and Coverage
To successfully navigate tightening margins and payer friction, health systems must balance aggressive automation and objective data tracking with a...
Revenue Cycle
HL Shorts: Clinical Collaboration in the Authorization Space
To proactively address claim denials, Wellstar Health System organizes monthly, cross-functional meetings that bring clinical and revenue cycle teams together...
Revenue Cycle
HL Shorts: Tech's Impact on Denial Management
Bradley Olson, Vice President of Managed Care for Mercyhealth, explains why revenue cycle leaders high claim denial rates to persist....
Revenue Cycle
Insights from the HealthLeaders Rev Cycle Exchange Advisory Panel
Revenue cycle leaders say that structural resilience relies on intentional succession planning, real-time clinical collaboration, and strategic vendor partnerships rather...
Revenue Cycle
Infographic: 4 Ways Rev Cycle Leaders Are Rethinking Denials
As payers continue issuing denials at high rates, health systems are shifting their focus inward, emphasizing staff training, clinical integration,...
Revenue Cycle
Infographic: 3 Insights from the 2026 Rev Cycle Exchange
From simplifying EHR systems to embedding clinical expertise, revenue cycle leaders are rewriting the playbook to combat aggressive payers and...
Revenue Cycle
How Revenue Cycle Leaders Are Rethinking Denials
While complaints about payer behavior are fair game, health systems need to turn to areas they can control to manage...