Health Insights & News

Most CFOs spend considerable energy on contract negotiations, and rightly so. But contracted rates only set the ceiling and what actually reaches the bank account is determined by execution inside prior authorization, benefits verification, claims processing, and accounts receivable. Preventable friction in these workflows quietly erodes net collection rate and drives up cost to collect […]

Revenue leakage in hospitals rarely announces itself. It accumulates quietly in one failed eligibility check, one missed prior authorization, one claim returned for a payer-specific edit until the compounding effect shows up as a cost-to-collect that has drifted well above the 3-4% benchmark most CFOs target. Current industry estimates indicate that hospitals and health systems […]

Why Healthcare Admin is No Longer a Human-Scale Problem when Volume, Variability, and Vacancy Break the Back Office.  Healthcare administration has become a scale problem, and the math no longer works in favor of traditional staffing models. An aging workforce, persistent vacancy rates exceeding 20% in many RCM departments, and accelerating payer rule complexity have […]