Donna Piano - Assurance Healthcare Advisors

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

Nurses Find Commong Ground in Oregon’s Largest Healthcare Strike

In a groundbreaking victory for nearly 5,000 Oregon-based nurses, the Oregon Nurses Association (ONA) has successfully ratified new contracts with Providence Health & Services, effectively ending the largest healthcare strike in the state’s history. This resolution comes after prolonged negotiations that highlighted critical issues impacting nurse welfare and patient care. Resolving the Largest Healthcare Strike…

May 24, 2025Donna PianoIndustry NewsENhanced Staffing Standards, Healthcare in Oregon, Oregon Nurses Association, Patient Care, Providence health, wage increases

Understanding the Impact of Trump’s Proposed Tax Bill on Medicare

Recent discussions around President Donald Trump’s proposed tax bill have sparked widespread concern over its potential impact on Medicare. Headlines suggesting a $500 billion cut to the program have raised alarms—but the reality is more nuanced. While the bill itself doesn’t directly cut Medicare funding, the implications of its projected $2.3 trillion increase to the…

May 23, 2025Donna PianoIndustry NewsHealth Systems, Healthcare provider Impacts, Medicare, Pay as you Go, reimbursement, Revenue Cycle Management, Tax Bill Impact

The Art of Negotiation – Strategies for Better Payer Contracts

Negotiating payer contracts is a critical skill for healthcare providers seeking to balance financial stability with delivering high-quality care. In an increasingly complex healthcare landscape, where value-based care and cost containment are reshaping reimbursement models, the ability to secure favorable payer agreements can significantly impact a provider’s bottom line and operational efficiency. This article delves…

May 22, 2025Donna PianoContract Managementalue-based care in healthcare management, Contract strategies, Healthcare Management, Healthcare Strategy, Negotiation Challenges, Payer Contract Negotiation, Payer Contracts, Payor Contracts, reimbursement, Revenue Cycle Management, Value Based Care

Telemedicine: A Lifeline for Overwhelmed Healthcare Systems?

Healthcare systems across the globe are grappling with a mounting crisis: patient volumes are rising, while the number of available healthcare providers is struggling to keep pace. In this challenging landscape, telemedicine has emerged as a potential solution to help ease the burden on overwhelmed healthcare facilities. Virtual care platforms allow patients to receive medical…

May 8, 2025Donna PianoOperational Managementdigital health solutions, healthcare systems, online doctor consultation, remote patient monitoring, telehealth services, telemedicine, virtual healthcare

Bundled Payments and Episodic Care Driving Value-Based Healthcare

The transition from fee-for-service to value-based care has become a cornerstone of healthcare reform efforts in recent years. As part of this shift, bundled payment models have emerged as a key strategy for driving improvements in both cost efficiency and quality of care. Unlike traditional payment systems, which reimburse providers for each service delivered during…

April 24, 2025Donna PianoContract ManagementBundled Payments, Bundled payments in healthcare, Care coordination strategies, cost savings, Episodic care models, Fee-for-service vs bundled payments, Healthcare cost efficiency, Patient outcomes and cost control, Quality metrics in healthcare payments, Reducing hospital readmissions, Risk-sharing in bundled payments, Value Based Healthcare