Jasmyne Ray

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back.

"[Payers] know that the hospitals don't have the resources to catch and appeal everything."

Calendar year to date margins have remained slightly above 4% since February 2024.

Patients are becoming responsible for more of their healthcare costs. And that’s driving hospitals and health systems to put more emphasis on the financial experience.

In the latest installment of our interview series for HealthLeaders AI and Finance Mastermind program, we spoke with Jacqueline Samuel, director of revenue cycle quality, strategy, and analytics for the system's billing subsidiary.

There are many advantages to organizations developing revenue cycle management solutions in-house, like being able to keep knowledge within the organization. However, developing solutions in-house can potentially be more expensive and time consuming than partnering with a vendor.

"We want to make sure it's worth the effort to implement," one executive said.

Keep these three things in mind the next time you're shopping different vendors for a new RCM solution.

AI has immense potential to save organizations time and money by optimizing their revenue cycle processes.

Moffitt Cancer Center was one of many health systems impacted by the Change Healthcare ransomware attack earlier this year. The organization’s VP of revenue cycle managment explains how she navigated the disaster.