reimbursement - Assurance Healthcare Advisors

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

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

Navigating Health Care RCM and Denial Management

Healthcare revenue cycle management (RCM) is a critical aspect of any healthcare provider’s operations, encompassing the entire financial process from patient intake to final payment. One of the most challenging aspects of RCM is managing claim denials, which can significantly impact a provider’s revenue and operational efficiency. Effective denial management is essential to maintain a…

April 4, 2024Donna PianoRevenue Cycle ManagementAuthorizations, Coordination of Benefits, Denial Management, Health, Healthcare, healthcare administration, Medical Billing, Medical Necessity, RCM, reimbursement, Revenue Cycle Management, Timely Filing