Navigating the New Payer-provider Dynamic

November 28, 2023

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Health system executives share how they are navigating troubling payer behavior that is threatening the bottom line

Amid inflation and rising operating costs, RCM leaders are now facing reimbursement struggles due to changing payer behaviors. These leaders say payers are playing a new game filled with payment delays and adjudication lags, and that the old rules no longer apply.

“Payer behavior is the biggest threat we have to our industry.”

Vice President of Revenue Cycle Operations, Large Academic Health System

This white paper was developed in partnership with Becker’s Hospital Review and outlines an exclusive discussion with leading health system revenue cycle executives, who share how they are managing difficult payer behaviors to improve their bottom line.

This white paper focuses on:

  • Exploring service-level agreements and outside industry support.
  • Building stronger relationships with managed care teams.
  • Technology and capacity upgrades in RCM.

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