New & Notable
2025 MedTech Breakthrough winners for healthcare payments
Waystar, Candid Health and TrustCommerce are among the winners of the 2025 MedTech Breakthrough Awards in the healthcare payments category.
Understanding the Fundamentals of Accountable Care Organizations
Accountable care organizations, or ACOs, promote higher care quality at lower costs while shifting risk to healthcare providers, making the model a staple of value-based care.
Health equity incentive in P4P model needs adjusting
A research letter examining the use of a health equity incentive in the End-Stage Renal Disease Treatment Choices Model points to further adjustments in pay-for-performance models.
44% of practices plan to renegotiate payer reimbursement rates
A survey shows physician practices aim to improve patient payments and payer reimbursement rates, with 44% planning renegotiations while focusing on claims automation and IT usage.
Insights
Insights is research conducted by and for TechTarget Xtelligent Healthcare. Our work aims to leverage Xtelligent’s diverse readership of healthcare professionals across various sectors of the industry to understand real-world challenges and identify effective solutions.
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Sponsored Sites
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Revenue Cycle Management
Greenway Health
Improving healthcare through innovation is at the heart of Greenway Health’s work. We provide electronic health records (EHR), practice management, and revenue cycle management solutions that help practices in multiple specialties grow profitably, remain compliant, work more efficiently, and improve patient outcomes.
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Specialty Drug Management
Optum Specialty Fusion
At Optum, we’re evolving health care so everyone can have the opportunity to live their healthiest life. It’s why we put your unique needs at the heart of everything we do, making it easy and affordable to manage health and well-being. Together, for better health.
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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Report: 12 cents of every federal dollar spent on medical bills
About a fourth of federal spending goes to healthcare administration, including paying medical bills to physicians, hospitals and other healthcare providers, according to new data.
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Study: Specialties most likely to use medical credit cards
Medical credit card use is common, especially among dentists, podiatrists and chiropractors, despite scrutiny on this type of payment method for patient financial responsibility.
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Indirect billing by APCs common for office-based care
A study shows indirect billing by advanced practice clinicians (APCs) occurred for 39% of all office-based encounters with Medicare patients in 2022, highlighting the role of APCs.
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Only a third of CMMI models yield substantial net savings
Most CMMI models did not generate significant savings to the federal government, if any savings at all, according to a recent analysis.
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CMS proposes 2.4% inpatient Medicare reimbursement hike
The FY 2026 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) proposed rule would increase inpatient Medicare reimbursement by about $4 billion.
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AHA pushes for inflation boost for physician reimbursement
AHA seeks a greater update to physician reimbursement compared to what MedPAC has recommended to lawmakers following reductions in Physician Fee Schedule payments.
Features
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5 leading hospital chargemaster software products
Hospital chargemaster software from FinThrive, Health Catalyst, Optum and other vendors can streamline CDM maintenance while using analytics to inform market strategy.
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Common denial reason codes in medical billing
Claim denial reason codes in medical billing indicate problems in the revenue cycle, understanding the codes and identifying patterns is key to prevention.
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RPA to Gen AI: How AI in revenue cycle management is evolving
AI in revenue cycle management is at an inflection point, with providers adopting automation, NLP and generative AI to streamline processes and reduce burdens.
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How healthcare consumerism is driving provider revenue growth
Learn how providers are aligning more with healthcare consumerism to grow revenue and services and using technology to promote consumer affordability and convenience.