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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

Risk Adjustment Solutions for 2027: Moving fr...

Risk adjustment solutions for Medicare Advantage organizations are entering 2027 under a confirmed payment environment and a set of operational changes that require adaptation before January 1. CMS's April 2026 Rate Announcement projects MA payments to increase by 2.48% – over $13 billion – in CY 2027, while CMS expects MA risk scores to increase by 2.50% on average due to underlying coding trends [1]

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Medicare Advantage accounts receivable and risk adjustment teams reviewing RAF, RADV, and encounter documentation
October 06, 2026

CMS Proposed Changes to 2027 Medicare...

Medicare Advantage (MA) revenue for 2027 is being pushed toward a higher standard of proof, and revenue cycle leaders wi...

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Laboratory revenue cycle management review of billing accuracy, denials, reimbursement trends, and 2027 CLFS readiness
September 18, 2026

Preparing for CLFS Reimbursement Chan...

Laboratory revenue cycle management encompasses every operational process connecting clinical laboratory services to col...

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FQHC billing team reviewing 2026 CMS coding changes, claim performance, and revenue cycle management requirements
September 15, 2026

FQHC Billing and Reimbursement: What ...

FQHC billing services in 2026 are operating under a materially updated payment and coding environment – one that affects...

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accounts receivable services 2026 accounts receivable management services AR discipline hospital
July 31, 2026

Increasing Revenue Leakage Calls for ...

Sometimes in healthcare, times emerge when status quo approaches to revenue cycle strategy are no longer enough. This ti...

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orthopedic billing services PE-backed practice EBITDA revenue cycle medical billing
July 28, 2026

Why Orthopedic Billing Accuracy Is a ...

Orthopedic billing services are the specialized revenue cycle functions that manage claim submission, coding accuracy, p...

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McKinsey survey medical billing services USA outsource revenue cycle management
July 20, 2026

McKinsey Survey Highlights Reasons to...

As the healthcare landscape shifts, revenue cycle leaders face increasing pressure to answer tough strategic questions. ...

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outsourcing medical billing services cash flow US healthcare 2026
July 13, 2026

Clean Claim Strategies in 2026: How S...

In 2026, outsourcing medical billing and clean claim strategy are converging into a single financial priority for U.S. h...

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accounts receivable management services healthcare outsourcing AR revenue
July 03, 2026

What to Look for in Accounts Receivab...

The U.S. medical billing outsourcing market – which encompasses accounts receivable management services, coding, claims ...

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gastroenterology billing services ColoSense
June 29, 2026

Gastroenterology Billing Services Upd...

Gastroenterology practices are navigating revenue cycle changes on multiple fronts in 2026. The 2026 Physician Fee Sched...

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