Insights That Move Healthcare Forward
Research, webinars, leadership perspectives, and practical resources to help healthcare organizations strengthen financial performance.
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Are We Paying for the Wrong Thing?
What does an ambulance ride actually cost? Three landmark reports released over the past seven months provide the clearest answers yet, and together they raise an even more important question about whether today's reimbursement system reflects the care EMS delivers today.
Your Deductible and MOOP Strategy for Next Year Starts Now
As deductibles, premiums, and out-of-pocket costs continue to rise, providers face growing challenges collecting patient responsibility after care is delivered. Learn why a targeted deductible and MOOP management strategy can improve reimbursement while reducing the burden on both patients and billing teams.
HHS & CMS Defer More Than $1 Billion in Medicaid Payments to Minnesota and California
HHS and CMS have deferred more than $1 billion in Medicaid payments to California and Minnesota while reviewing high-risk claims. Here's what the action signals about increasing federal oversight, program integrity, and why healthcare organizations should be paying attention.
Compliance Corner: Preparing for Increased Scrutiny of Hospital-to-Hospital Emergency Transports
Hospital-to-hospital emergency transports are facing increased payer scrutiny, making thorough documentation more important than ever. Learn what should be included in your Patient Care Report (PCR), common compliance risks to watch for, and proactive steps your organization can take to strengthen documentation and reduce audit risk.
Clear Is Kind. Unclear Is Unkind.
The conversations you avoid don't disappear, they usually become bigger problems. Discover why leading with clarity, kindness, and accountability is more important than ever in today's healthcare environment.
The Clock Is Working Against Your TPL Recoveries
Third-party liability is often the highest-paying reimbursement source, but only if it's identified early. Discover how faster TPL workflows can improve recovery rates, increase revenue, and simplify collections.