Becker's Healthcare April 26, 2024
Facing an unprecedented surge in payer denials, the healthcare industry confronts a pivotal challenge that threatens its foundational mission of patient care and jeopardizes hospital stability nationwide.
This growing crisis, intensified by aggressive payer tactics and compounded by lack of enforcement, has escalated to an epidemic scale, highlighting a dire need for fundamental reforms. The path forward demands adopting strategies that emphasize accountability, strategic foresight, data-driven insights, and collaboration, ensuring healthcare institutions can overcome and reaffirm their commitment to delivering quality care.
A recent report from Premier, Inc. validates the challenges healthcare providers face and highlights the daunting path ahead.1 When hospitals spend $20 billion in a single year to overturn half of originally denied claims, enforcement of existing rules...