Hospitals and health systems have been at the forefront of a major transformation while at a crossroads of increasing demand for higher acuity care and deepening financial instability.
The emergence of expensive biologic therapies in the early 2000s led to the creation of patient support services primarily aimed at financial assistance.
Healthcare in the United States is far from perfect. Providers must navigate complex reimbursement methodologies while understanding payer plan specifics that impact prompt reimbursement.
The healthcare landscape is undergoing rapid transformation, driven by factors such as increasing costs, evolving reimbursement models, and the growing complexity of patient care.
Private employer costs for employee health plans have increased 4.2% each year since 2010,1,2 and 6.5% more in 2024.3 This has left employers desperate to control costs.
Artificial Intelligence (AI) has the potential to bring about a revolution in the field of healthcare, offering advancements in diagnosing illnesses, customizing treatments based on individual genetic profiles, and improving patient outcomes.
During recent years, outsourcing by health system administrators has evolved as a practical strategy to enhance profitability and enrich financial performance margins. Offshore sourcing engagements also play a critical role in easing the strain these same executives face due to the shortage of skilled workers here in the U.S.
As the healthcare industry grows increasingly competitive, more is expected of professional service providers. While the vendors of the past survived by delivering standardized, one-size-fits-all solutions, today’s service providers must adapt to a more complex and demanding environment.
Executive Summary: We’ve been hearing the same message for years now, that the United States has an aging population and workers aren’t being replaced fast enough. This is hitting hard, particularly in healthcare, and anybody working in one of our large health systems knows the far-reaching impact of the shortage.