Self-Pay Accounts Aren’t Always Uninsured: Finding Coverage Before Early-Out

Many self-pay accounts have coverage no one found. Learn how hospitals can use insurance discovery and eligibility checks before starting early-out outreach.

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Medicaid Recertification Every Six Months: How Hospitals Can Prepare for 2027

Workers' compensation claims stall when accident details aren't captured early. See how hospitals can identify and resolve these accounts faster.

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THE 90-DAY Grace Period Problem: How ACA Marketplace Premium Delinquency Is Quietly Draining Hospital Revenue

Your billing team verified the patient’s insurance. The authorization went through. The care was delivered. And then, weeks later, a recoupment notice or denial arrives because the patient’s Marketplace

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Millions Will Lose Medicaid Next Year – Not Because They’re Ineligible, But Because of a Form

There’s a detail buried inside the Urban Institute’s latest analysis of the One Big Beautiful Bill Act that deserves far more attention than it’s gotten. Researchers modeled how many

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The 90-Day Clock Is Already Running on Some of Your “Covered” Patients

Ask any hospital CFO what’s driving the revenue pressure this year, and you’ll hear variations of the same answer: ACA enrollment dropped, premiums spiked, uninsured volumes are up. All

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The ACA Coverage Cliff Is Here: What Hospital Revenue Cycle Leaders Must Do Right Now

For years, expanded ACA premium tax credits kept millions of patients covered and hospital uncompensated care costs in check. That era ended on December 31, 2025. When Congress declined

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Medicaid Redetermination 2027: How Hospitals Can Prepare for Increased Patient Coverage Loss

Introduction The expansion of Medicaid over the past decade has fundamentally transformed hospital financial performance. Following the Affordable Care Act’s Medicaid expansion, hospitals saw an average decrease of $2.8

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Step-by-Step Guide to Streamlined Accident Claim Management

When a patient walks into a hospital after an accident, the clock starts ticking not just for treatment, but for the intricate web of paperwork and coordination that follows.

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Top Revenue Cycle Improvement Tactics That Work Today

Introduction Every hospital knows that a healthy revenue cycle isn’t just about numbers; it’s about ensuring that patients receive timely care while the institution maintains financial stability. When revenue

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Innovative Healthcare Revenue Solutions That Actually Work

Hospitals and healthcare providers face a paradox: the need to deliver high-quality patient care while navigating increasingly complex financial systems. Between insurance claims, patient balances, and evolving regulations, revenue

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