Donna Piano - Assurance Healthcare Advisors

The Perfect Storm, How Rising Healthcare Costs and Provider Compensation Cuts Are Impacting Patient Care

The U.S. healthcare system is in a state of crisis, facing the dual pressures of soaring costs and declining compensation for healthcare providers. This perfect storm has significant consequences for both medical professionals and patients, as overburdened providers struggle to deliver quality care while financial barriers prevent many individuals from accessing necessary medical treatment. These…

August 13, 2025Donna PianoCompensation Managementchronic diseases, compensation cuts, healthcare costs, higher insurance deductibles, hospital closing, medicaid reimbursement reductions, Medicare reimbursement reductions, Patient care impacted

Key Strategies to Reduce Revenue Leakage in Healthcare Organizations

In today’s complex healthcare environment, revenue leakage is one of the most persistent threats to financial sustainability. Unlike large-scale fraud or catastrophic loss, revenue leakage is subtle—often going undetected for months or even years. It’s the result of small inefficiencies, missed charges, denied claims, and outdated processes that collectively erode margins and impact long-term viability.…

August 6, 2025Donna PianoCompensation Management, Revenue Cycle Managementautomation, coding, contract modeling, eligibility and authorization errors, experian, Healthcare Financial management association, HFMA, payer contract, Revenue integrity, software

Negotiating Value-Based Payer Contracts, The Challenges and Opportunities

Value-based care has become a cornerstone of modern healthcare, shifting the focus from volume to outcomes. As providers transition from fee-for-service models to value-based contracts, negotiating agreements with payers presents both challenges and opportunities. This article explores the complexities of value-based payer contracts, examines common hurdles, and highlights strategies for achieving mutually beneficial agreements. Understanding…

July 30, 2025Donna PianoContractsbuilding strong payer relationships, Bundled Payments, collaborations, Contract Negotating, contracting for value based agreements, risk sharing, value based payer contracts, VBC arrangements

The Role of Technology and Automation in Mitigating Healthcare Staffing Challenges

The healthcare industry is facing an unprecedented workforce crisis. A growing patient population, aging healthcare professionals, burnout from administrative overload, and lingering effects of the COVID-19 pandemic have created a perfect storm. Across the U.S., hospitals, clinics, and physician practices are grappling with critical staffing shortages that threaten care quality, access, and operational efficiency. In…

July 9, 2025Donna PianoOperational Managementautomation, Healthcare Staffing challenges, nursing shortage, operational efficiency, physician shortage, staffing, Virtual Medicine

How Physicians Are Coping with Declining Reimbursements Amid Increasing Patient Loads

The healthcare industry is facing a significant challenge: declining reimbursements coupled with increasing patient loads. Physicians across the United States are grappling with financial pressures while striving to maintain the quality of care. This article explores the strategies physicians are adopting to cope with these dual pressures, including operational efficiencies, alternative revenue streams, technology integration,…

July 3, 2025Donna PianoOperational Managementamerican medical association, declining reimbursements, digital health tools, mental well being, operational efficiencies, patient loads, physician burnout, quality of care, revenue stream, workflow optimization

RCM in Specialty Practices Addressing Unique Financial Challenges in Niche Medical Fields

In the complex world of healthcare, specialty practices face unique financial challenges that demand a more tailored and strategic approach to Revenue Cycle Management (RCM). From dermatology to oncology, cardiology to orthopedics, niche medical fields operate under distinct clinical protocols, reimbursement models, and payer rules. These differences significantly impact how revenue is generated, captured, and…

June 26, 2025Donna PianoRevenue Cycle Managementcardiology, dermatology, high cost procedures, high cost treatments, oncology, orthopedics, patient journey, RCM, reduced denials, reimbursement models

Why Cybersecurity is a Top Priority for Healthcare Organizations

In today’s digital era, cybersecurity has emerged as a critical concern for healthcare organizations. As these institutions adopt advanced technologies and electronic health record systems, they become prime targets for cyberattacks. The sensitive nature of patient data, combined with the complexity of healthcare operations, makes cybersecurity a top priority. The stakes are high: a breach…

June 19, 2025Donna PianoOperational ManagementCybersecurity, financial losses, healthcare Organizations, patient saftey, phishing schemes, Priority, Ransomware, Rising threats

Rethinking Pediatric Wellness, A New Report Highlights Overmedicalization and Industry Influence

A new report from the Make America Healthy Again (MAHA) Commission, led by Health and Human Services Secretary Robert F. Kennedy Jr., is making waves across the healthcare industry. Commissioned by President Trump in early 2025, the 68-page report explores the troubling state of children’s health in the U.S. and outlines four primary drivers of…

June 12, 2025Donna PianoIndustry Newschronic disease, Department of Health and Human Services (HHS), Donald Trump, hospital, nutrition, overmedicalization, Robert F. Kennedy Jr., Toxins, vaccines

The Uninsured Crisis and Rising Healthcare Costs Push More Americans Out of Coverage

The United States is facing a growing uninsured crisis as rising healthcare costs continue to push millions of Americans out of coverage. Despite advancements in medical technology and policy efforts to expand access, the high cost of care has left many individuals and families struggling to afford even basic health insurance. This phenomenon has far-reaching…

June 5, 2025Donna PianoIndustry Newsfinancial losses, gap in coverage, middle income families, no coverage, patients, policymakers, preventive services, rising healthcare cost, treatment, uninsured crisis

Anticipated Growth in Value-Based Care Revenue for 2025 The Strategic Implications for Healthcare Organizations

In recent years, the healthcare industry has undergone a significant transformation, shifting its focus from volume-based, fee-for-service models toward value-based care (VBC) arrangements that reward outcomes over output. This change reflects a growing consensus that sustainable, patient-centered healthcare must align financial incentives with quality outcomes, care coordination, and cost efficiency. Now, new data reveals that…

May 28, 2025Donna PianoRevenue Cycle ManagementCapitation models, dowside risk models, Medicare Shared Saving Program, organizational goals, readiness assessments, reimbursement, Strategic Planning, Technology to drive VBC programs, Value Based Care, Value based model