The health care delivery system is once again under financial pressure. What was once a slow boil of cost pressure has, with current and pending federal budget changes, erupted into a full-blown crisis. Executives today are grappling with a trifecta of converging challenges: accelerated shifts in federal policy, technological disruption, and maneuvering by health plans…

In an era defined by disruption and uncertainty, the most resilient provider organizations are those that view cash both as a resource and as a strategic lever. Leading during chaotic times (see The Chaos Cookbook) means adopting a rigorous, data-driven approach to cash management that is more than cost containment; it demands operational discipline, financial…

Chaotic market forces have been challenging sustainable business models for specialty health and human service provider organizations for some time. Key disruptive forces in recent memory include the rise of digital health, consumer-driven health care, non-traditional providers like retailers and tech companies, value-based care (VBR), and the COVID-19 pandemic, amplified by the current uncertainty at…

If a health care practice collects just 80% of all medical claims, that means 20% is left on the table. Even with best practice revenue cycle management (RCM) operations already in place, specialty provider organizations that are failing to collect their authorized reimbursements can still find ways to improve their collection rates for approved services…