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Revenue cycle teams focus on open balances — but what about the accounts marked as paid? Across managed care contracts, these “zero-balance” accounts often hide underpayments no one is tracking. The result: $1-3 million left uncollected for every $100 million…
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Launching or expanding telehealth and remote patient monitoring without a clear plan puts clinical and financial ROI at risk. But some health systems are proving that success is achievable when the right foundation is in place. This whitepaper offers a…
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Chronic inflammatory conditions drive high drug spend — and poor adherence often leads to costly flares, ER visits, and hospitalizations. Gaps in patient engagement, prescriber coordination, and side effect management make sustained adherence difficult. This whitepaper introduces a nurse-led pharmacy…
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Stronger CPR skills, fewer disruptions: How Trinity Health Muskegon redefined resuscitation training Traditional CPR certification models often leave clinicians unprepared. Skills can fade just 90 days after training, and high staff turnover only undermines teamwide competency. Trinity Health Muskegon tackled the problem head-on. After shifting to a quarterly, low-dose CPR training program,…
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A Northeast health system faced a 40% rise in workplace violence, particularly in pediatric behavioral health. Staff morale was low. Reporting was inconsistent. Rural response times lagged up to 15 minutes. Leadership knew it couldn’t continue. This case study details…
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Payers are using AI to automate and deny claims faster than ever. Meanwhile, only 8% of providers use AI in denials management. This whitepaper breaks down how leading health systems including Banner Health and Houston Methodist are closing the gap…
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Expanding equitable access to cardiac care is a strategic imperative for health systems striving to improve outcomes and optimize resources. Delays in care exacerbate disease severity, increase emergency reliance, and strain staff capacity. The Imperative for new care pathways presents…
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High call volumes. Long resolution times. Burned-out agents. For payers, traditional contact center tools aren’t enough to meet today’s member expectations. Generative AI is changing that — and some of the most complex service organizations in the world are already…
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Denials remain on the rise as errors become harder to catch early and eligibility rechecks take longer. This 2025 State of Claims report — based on a survey of healthcare finance and revenue cycle professionals — identifies what is driving…
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Economic strain, staffing shortages and consolidation are squeezing ASCs but they’re also forcing transformation. Without bold action, ASCs risk margin erosion, physician attrition and lost leverage with payers. From restructured strategic partnerships to real estate monetization and new partnership models,…
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