4sight Health May 30, 2023
In November 2022, I published an article in HFM Magazine with the provocative title “Rewiring Healthcare’s Smartest Professionals (Hint: It’s Not Doctors).” I wrote the article to make the following points:
- Revenue optimization is the primary driver of healthcare operations. It shapes which services providers offer, where they offer those services and the prices they charge for them. Inequitable access and poor health outcomes are biproducts of the nation’s current system of delivering and paying for healthcare services.
- Providers and payers dedicate the vast majority of their technological expertise to managing remarkably complex and friction-filled billing and payment processes.
- Revenue cycle management (RCM) in healthcare is very expensive to operate, is riddled with inconsistencies and creates negative value for...
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