Industry Overview & Market Conditions

When a patient arrives, the hospital must provide treatment. However, payment for that treatment is not certain and is a multi-billion dollar challenge.
Revenu Dramatic Loss in Revenue
Due to the stipulated cuts of Medicare and Medicaid by the mandated Affordable Care Act (ACA), it is estimated that there will be in excess of $150 billion in annual revenue reductions over the next 10 years for hospitals.
Revenu Reimbursement Pressure is Accelerating
Hospitals are seeing dramatic changes in the way they are paid. Healthcare rules are changing from fee-for-service to value-based-reimbursements.
new_consumer The Patient is the "New" Consumer
There has been a shift in credit risk from insurers to the patient due to exceedingly high deductibles and co-pays. This creates new compliance challenges that arise under regulation Section 501(r), increases risk associated with State and Federal governing rules regarding lending and payment plans and diminishes cash flow. Patients are now a meaningful contributor to the revenue cycle.
uni_icon Uninsured
As health insurance premiums rise, the Federal Government’s plan to insure the entire United States population has not yet been validated and the statistics show the number of uninsured is growing, not shrinking, under the ACA. Yet, hospitals must continue to take all patients through the Emergency Room.
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