“I decided that bankruptcy would just be better.”A woman dressed in scrubs told me that, taking the call from the driver’s seat of her car, presumably...

If you read nothing else:There’s no universal “good” patient collection rate. Instead, focus on consistently measuring your own performance over time—...

Patient billing questions are some of the hardest calls a health system handles. They’re high-stakes, emotionally charged, and often deceptively compl...

Healthcare is often compared to industries that digitized years ago—banking, travel, retail. And while there’s plenty healthcare can learn from their...

Bad debt.It’s become the bogeyman of revenue cycle management—haunting dashboards, driving decisions, and distorting the truth about patient financial...

The One Big Beautiful Bill Act, signed into law on July 4, 2025, shortens Medicaid retroactive coverage starting December 31, 2026. Expansion adults w...

If we’ve learned anything about patient payments, it’s that there are a lot of forces at play: inflation,Medicaid disenrollments,system outages, even...

After more than a decade of delays, Medicaid Disproportionate Share Hospital (DSH) payment cuts finally took effect in October 1, 2025. TheOne Big Bea...

The 2025 reconciliation bill, known as theOne Big Beautiful Bill Act (OBBBA), includes nearly a trillion in Medicaid cuts over the next decade. For he...

Most patient billing problems don’t start with errors. They start with confusion.Confusion over why you’re receiving a $287 bill two months after payi...

Medicaid enrollment automation is having a moment. Not just for its potential to reduce administrative work, but because it’s helping catch the patien...

Imagine a patient who was on Medicaid last week. This week, they’re on a marketplace plan with a $15,000 deductible.Would you treat that account as “c...

For five years, a New York gig worker went without coverage. Inconsistent jobs and unpredictable income kept insurance out of reach, so he skipped car...

Every year, healthcare leaders engage in forecasting — often cautiously, sometimes conservatively. This year, I wanted to understand what experts real...