Denial ManagementExecutive LeadershipFeaturedRevenue CycleUtilization Management What Hospitals Need to Know about the One Big Beautiful Bill and Medicaid Reform Carol Howard interviews state Medicaid expert, Darin Gordon, on the impact to hospitals introduced by the One Big Beautiful Bill (OBBB).Spencer HollemanAugust 11, 2025
Denial ManagementRevenue CycleUtilization Management Prior Authorization Is Changing Learn how upcoming prior authorization reforms—and CMS's WISeR pilot—will impact hospital UR and revenue cycle teams.Spencer HollemanJuly 21, 2025
Executive LeadershipFeaturedRevenue CycleUtilization Management Will New Medicaid Policies Put Hospital Margins at Risk? Carol Howard provides details on how changing federal Medicaid policies could impact hospital margins and the populations they serve.Spencer HollemanMay 16, 2025
Executive LeadershipInnovationPodcastsRevenue Cycle Change Management in Healthcare: Lessons Learned from Hospital Leaders Lessons learned, frameworks, and practical examples of change management in hospitals from process improvement leaders.Spencer HollemanApril 19, 2025
Denial ManagementPhysician InterviewsPodcastsRevenue CycleUtilization Management Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges Key insights from industry experts on how hospitals should navigate MA challenges with financial pressures and complex policy changes.Spencer HollemanNovember 19, 2024
Clinical LeadershipExecutive LeadershipInnovationPodcastsRevenue Cycle Prioritizing Health System Transformation: A Strategy for Clinical and Financial Success Melinda Hancock, EVP & Chief Transformation Officer, shares how Sentara prioritizes innovative projects for clinical and financial success.Spencer HollemanOctober 17, 2024
AdmissionsClinical LeadershipDenial ManagementRevenue CycleUtilization Management New Insights on Medicare Advantage Plans and The Two-Midnight Rule We asked healthcare executives at HFMA ANI about trends they're seeing with new Medicare Advantage Plans and the CMS Two-Midnight Rule.Spencer HollemanSeptember 4, 2024
Clinical LeadershipCost TransparencyLength of StayRevenue Cycle Understanding DRG Codes and Their Impact on Hospitals While CFOs and Revenue Cycle leaders are often familiar with DRGs, there is a gap between frontline clinicians as to how this impacts finances and patient care.Spencer HollemanJune 11, 2024
AdmissionsRevenue CycleUtilization Management Preparing for CERT Audits and Practicing Compliant Documentation Best practices and innovative solutions for implementing compliant documentation processes to help prepare for CERT audits.Spencer HollemanApril 16, 2024
AdmissionsClinical LeadershipDenial ManagementFeaturedRevenue Cycle The CMS Two-Midnight Rule and Medical Necessity Criteria Understand CMS' Two-Midnight Rule expectations and exceptions for medical necessity documentation criteria.Spencer HollemanSeptember 14, 2023