Whitepapers

Incomplete risk capture undermines revenue and care quality, especially as value-based models accelerate. Industry averages fall short: 80% recapture rates, 70% annual wellness visit coverage. That leaves dollars — and patient outcomes — at risk. This toolkit shows how leading…

For many community hospitals, revenue cycle management is becoming unsustainable — with outdated billing workflows, rising denial rates and staffing gaps straining both margins and mission. Outsourcing it isn’t a new concept, but few hospitals have used it as a…

Clinician onboarding doesn’t have to mean days away from patient care. UCHealth proved that with the right model, health systems can deliver efficient, role-specific Epic training at scale — and achieve substantial financial returns. This case study reveals how UCHealth…

Between 2022 and 2023, denials by Medicare Advantage plans increased 56% for the average health system, and commercial plan denials rose more than 20%. In this environment, health systems like SSM Health, Temple Health and Ochsner Health are prioritizing documentation…

Manual inventory tracking in operating rooms is time-consuming and risky — leading to stockouts, waste and compliance headaches. This was the reality at Our Lady of the Lake Regional Medical Center, where pharmacy teams spent nearly seven hours daily restocking…

Time is running out for FQHCs that depend on telehealth to keep patients connected to care. In 2025, CMS flexibilities that made virtual visits reimbursable are winding down months earlier than many expected — creating real challenges for Medicaid and…

Traditional, in-house revenue cycle management is buckling under the pressure of shrinking margins and persistent talent shortages. Without decisive action, hospitals risk rising denials, slower reimbursement and frustrated patients. This report, based on survey insights from 100 health system finance…

Patients expect seamless digital communication, yet most health systems rely on siloed, manual tools that create delays, errors and frustration. Traditional communication systems can’t keep up with the demand for real-time, personalized patient interactions. This situation contributes to missed appointments…

Many payers still rely on brokers to manage nonemergency medical transportation (NEMT). This model is rife with inefficiencies, including misaligned incentives, fraud risk, outdated workflows and lack of data visibility. Missed appointments, access delays and rigid advance-notice requirements can increase…

Shifting regulations, rising demand for care and staffing shortfalls have put the healthcare industry in a constant state of flux.  Decisive leadership during times of ambiguity is critically important. To create a sustainable competitive advantage, healthcare organizations must identify market…