Revenue Cycle Management Challenges: Beyond 2024

Revenue cycle management (RCM) expertise is increasingly critical to provider organizations since over 80% of Americans are enrolled in managed care plans. As a result, most provider organization revenue comes from the health plan approval and claim payment processes.;

Over the past decade, many executive teams have made significant investments in revenue cycle management programs and technology to improve payment for services. These established practices and procedures will now need to be revised because of three slow but certain shifts in the field: the increase in the proportion of health care payments made by consumers; the growing proportion of . . .