In the healthcare market, patients continue to ask the question: what is it going to cost for my service or procedure? There are many factors involved, making it very difficult to determine the actual cost to the patient.

The healthcare enterprise is riddled with opportunities for playing intermediary. At its most basic, however, health care is simple: patient wants/needs care from a provider that can help them feel better.

Hype is very important to a business’ brand. Every business wants their brand to represent something special, unique, and valuable. Moreover, delivering hype to existing clients is extremely rewarding.

Revenue cycle management continues to grow more complex. There are ever-changing regulations, the ongoing transition to value-based reimbursement (VBR) models, different requirements by payers, and the pressure by healthcare organizations to maximize cash collections.

The Affordable Care Act prompted many innovative care delivery and payment reform initiatives to address both the daunting growth of healthcare costs and less than optimal patient care outcomes.

In just a few short months, the events of 2020 changed everything in the healthcare industry. When COVID-19 hit, it immediately raised issues that few experts could have forecasted.

As the COVID-19 pandemic continued to wreak havoc worldwide, hospitals and health care systems were increasingly at risk for financial crisis as they faced organizational challenges.

Payer prior authorizations are expensive and administratively daunting. A high failure rate lowers care outcomes and drains revenue. However, we’ve found that process discipline and automation unshackles clinical staff, with big boosts to care quality and revenue.

The year 2020 offered the difficult realization that the lack of sufficient public health data systemically hindered the U.S. healthcare infrastructure’s ability to timely fight a pandemic.