Tag: Revenue strategy
What to expect in 2025: Managed care trends and predictions
New president. New Congress. Decades old healthcare cost finger pointing. Payors and providers say change is needed. Yet there’s no consensus on how to achieve it. In our new report, we share...
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...
Three things you need to know about Medicare Advantage today
Medicare Advantage's rapid growth is straining hospitals and health systems due to low reimbursement rates, rising denials, and payment disputes, requiring providers to adopt data-driven strategies and proactive contract negotiations...
2023 revenue challenges: Turning the tide in 2024
In 2023, hospitals and health systems faced financial pressures from Medicaid redeterminations, Medicare Advantage's rapid growth, and shifting expectations of commercially insured patients, requiring proactive strategies in reimbursement, contract negotiations,...
Shifts in healthcare, provider hurdles, & the flywheel effect
UnitedHealth Group's vertically integrated model leverages its assets to drive profitability while straining providers through low reimbursement rates, fueling industry-wide tension and highlighting the need for proactive strategies to address...