Rethinking rev cycle, plus the 2026 Medicare proposed rule on physician fee schedule
Mayank Pant from IKS Health talks about why healthcare organizations haven’t been able to overcome longstanding challenges, and Nick Hut talks with HFMA Policy Director Katie Gilfillan about the 2026 Medicare Proposed Rule on physician fee schedule.
Insurers promise to make prior authorization processes easier for all parties
In potentially a rare dose of good news for providers about prior authorization, the health insurance industry has volunteered to scale back the process and introduce new accommodations, according to an announcement Monday. As described by the insurance lobby and the Trump administration, which convened a meeting Monday at which a large segment of the…
David Johnson: Lessons in solving the nation’s current revenue cycle dilemma
In April 1999, “The Modern Library” published its list of the top one hundred nonfiction books of the 20th century. Number one was “The Education of Henry Adams,” an intellectual autobiography written in 1905 by the great grandson and grandson of John Adams and John Quincy Adams, respectively, the second and sixth presidents of the…
How to empower revenue cycle employees to solve problems: a case study of Mass General Brigham
In traditional revenue cycle structures, managers move up the hierarchy because they are good at getting work done and solving problems. However, a successful continuous improvement culture needs not only effective managers but also empowered front-line staff who can share their insights and expertise. With this premise in mind, leaders at Mass General Brigham (MGB)…
Vendor and staffing management, plus the latest in budget reconciliation
Danelle Newman from OSS Health discusses how to strike a balance in vendor and staffing management. Also in this episode, HFMA Senior Editor Rich Daly talks with HFMA Policy Director Shawn Stack about the House-passed reconciliation package.
The IPPS proposed rule, and tackling charge capture issues
Nick Hut and Shawn Stack discuss the proposed rule for the Inpatient Prospective Payment System. Later, Taylor Searfoss, a vice president at Ni2, an Infinx company, discusses challenges in charge capture.
How 2 regions increased provider leader attendance at their symposium
Leadership of the January 2025 HFMA Western region symposium, held in Las Vegas, credits scholarships and peer-to-peer outreach for increasing attendance at the event by more than 10% in two years. Event leaders engaged 14 HFMA chapters across regions 10 and 11 to establish a planning strategy. Keys to the symposium’s success were prioritizing provider…
David Johnson: A case study in today’s revenue cycle dystopia
Vendor pronouncements that AI technologies can transform the healthcare revenue cycle are commonplace and overblown. While both health systems and suppliers want to believe that AI can be their savior, there are limits to how it can improve payment mechanics between commercial health insurers and providers. No revenue cycle company flew closer to the sun…
The art of digital delegation
Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.
Tribal health challenges provide lessons for healthcare organizations
Laura Osborne and John Reeves discuss the unique challenges of tribal health and what other healthcare organizations can learn from their experiences.