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Mindpath Health’s Ryann Holloway on Why Revenue Cycle Feels Like 2006 All Over Again

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Revenue cycle veteran Ryann Holloway has lived through healthcare’s biggest transformations—from the pre-ACA days of unpredictable coverage to Massachusetts’ groundbreaking healthcare reform. Today, as Medicaid faces sweeping changes, she’s seeing echoes of a time when access to care was fragile and managing bad debt was the name of the game.

As SVP of Revenue Cycle Management at Mindpath Health, Ryann shares hard-won lessons from over two decades on the front lines. She challenges the myth of “perfect data,” explains why organizations can’t afford to wait for certainty, and offers a roadmap for building systems that protect both patients and providers when coverage changes.

Watch the full episode

Conversation highlights

Pre-ACA vs. Post-OBBBA

WIth Medicaid cuts and coverage losses on the horizon, Ryann draws parallels to revenue cycle before the ACA. But this time, something’s different.


Coverage doesn’t just disappear

Patients don’t lose coverage overnight. Ryann walks through the messy reality behind these transitions and how providers can get ahead of them.

Three things to get right

Ryann’s advice for revenue cycle leaders: focus on what you can control. Here’s what she recommends prioritizing over the next five to ten years.

Ben Kraus is Director, Content Marketing at Cedar

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