denials
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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.
CFO
HL Shorts: The AI Impact On Payers and Providers
Is AI helping or hurting the payer-provider relationship?
CFO
Bridging the Payer-Provider Divide: Excerpt from March Cover Story
The growing tension between payers and providers is no secret. And it's forcing CFOs to take action.
CEO
The Winning Edge: How Providers Are Battling Medicare Advantage
Medicare Advantage is exacerbating providers' financial and operational problems, making the current path almost untenable, say hospital CEOs.
CEO
How Hospital CEOs Are Strategizing to Lessen Medicare Advantage's Onerous Impact
Providers' frustration with the private program is palpable, but there are actions they can take to alleviate its consequences.
CEO
The Disadvantage of Medicare Advantage: Providers Forced to Fight Back
Living with Medicare Advantage can be draining for your organization, but it doesn't have to feel hopeless.
Revenue Cycle
Infographic: Rev Cycle Leaders Weigh in on Rising Claim Denials
Claim denials are still causing frustration for revenue cycle leaders, and a new survey shows it's only getting worse.