payers
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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
3 Insights From HFMA 2025
Three topics dominated conversations at this year's conference. Here's what you need to know.
Revenue Cycle
HL Shorts: Northwell Health Exec Talks Top Prior Authorization Headaches
Inconsistent payer rules are a major pain point for revenue cycles with direct clinical and financial impact on patients, according...
CFO
4 Tips for Payer Collaboration from HFMA
Here's how CFOs can keep pace with, or even get ahead of, payers.
Revenue Cycle
Rev Cycle Leaders Cautiously Optimistic Over AHIP Plan to Limit Prior Authorization
More than 40 payers have voluntarily committed to significant prior authorization reforms, but will this time be any different?
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.
CFO
What's Cooking at HFMA This Year
As the HFMA annual conference kicks off in Denver, CFOs are preparing to tackle urgent financial, regulatory, and ethical challenges.
Payer
How Providers Can Stop Losing Money on Their Medicare Advantage Contracts
Dr. Sachin Jain and Mike Plumb detail what providers are missing and how collaborative health plans can help.
Revenue Cycle
Will CMS' Aggressive Approach to MA Audits Affect Provider Revenue Cycles?
A recent CMS announcement signals a more aggressive approach to auditing Medicare Advantage plans. Revenue cycle leaders should be prepared...
CFO
CFO In the Know: Price Transparency Update
Hospital price transparency compliance enforcement is set to rise.
Payer
Employer Health Plan Performance Gap Expands, Says J.D. Power
The good get better while the bad get worse as overall member satisfaction declines slightly.