What We’re Reading – November 2024

November 8, 2024

Here’s a sampling of the recent articles R1 revenue cycle experts are reading and writing:

Healthcare Business Today
Overcoming RCM Staffing Challenges to Boost Patient Satisfaction

High staffing costs and labor shortages continue to drag on hospital and health system finances, prompting many healthcare executives to rethink their organizations’ approaches to revenue cycle management (RCM). R1 Senior Vice President of Client Delivery Laurence Harris explores strategies for overcoming the shortages and lowering staffing costs.

Becker’s Hospital CFO Report
Medicare Advantage Plans ‘Intentionally Using Prior Authorization to Boost Profits’: Senate Report

The largest Medicare Advantage insurers have prioritized profits over patient care by increasing the use of prior authorization in recent years to frequently deny post-acute care services to older adults. That’s according to a report by the Senate Permanent Subcommittee on Investigations. Insurers are increasingly deployed predictive technologies and artificial intelligence tools to influence their denial decisions.

Health IT Answers
Cybersecurity Awareness Month: Zero Trust

Experts say one of the best approaches to fighting cybercrime for healthcare organizations is Zero Trust, a security framework that relies on strong authentication and authorization for every device and every person before any access or data transfer takes place on a private network. R1’s Chief Information Security Officer joins other cybersecurity experts sharing their thoughts on the pros and cons of Zero Trust.

Health Leaders
Revenue Cycle Managers Expect AI to Do More Than Number Crunching

Always shorthanded? That’s because healthcare has a people problem, especially in revenue cycle management and finance operations. There just aren’t enough people filling those roles, and the competition with other industries is fierce. This is where AI fits in, streamlining claim processing, speeding reimbursement and improving data integrity.

 

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