Debunking the RAND Study: How flawed data is hurting U.S. hospitals
The RAND hospital pricing study, widely cited by employers, insurers, and policymakers, is criticized as methodologically flawed, with misleading conclusions that unfairly portray hospitals as overcharging, risking further financial destabilization for healthcare providers.
Hospitals are damned if they do, damned if they don’t
Hospitals, facing mounting bad debt from insured patients and pressures from the No Surprises Act, are increasingly requiring advance payments for non-emergency care, navigating criticism while striving to balance financial stability with patient protection and clear communication.
Denials by bots: Why providers need to keep an (even closer) eye on claims
Payers increasingly rely on AI and automation to process claims, leading to higher denial rates, lawsuits, and scrutiny, necessitating proactive provider strategies to challenge harmful practices and safeguard revenue.