Posts by EmoryDay

Do you know your organization’s claim denial rate? If you had to guess, would you know the answer? Many healthcare leaders don’t, even though denial rates offer one of the clearest snapshots of revenue cycle health. Industry experts often point to denial rates above 10% as a sign that operational processes need attention. The real…

Managing revenue in healthcare isn’t always as easy as just sending out claims and waiting for payments to roll in.  There are ever-changing insurance requirements, regulations, and patient responsibilities to consider, which is why healthcare organizations need efficient systems in place to support a steady stream of revenue. Now, many providers take what’s called a…

Rural healthcare is often framed as a system in decline. That narrative is incomplete. Rural healthcare is not failing because of a lack of commitment, quality, or purpose. It is under-supported, structurally disadvantaged, and forced to operate within constraints that make long-term stability far more difficult than in urban markets. Yet across the country, many…

Healthcare organizations can no longer afford to separate financial strategy from clinical reality. For years, healthcare finance has been driven primarily by accounting data. Revenue totals, expense categories, payer performance, and cash flow have long shaped the way leaders evaluate performance and plan for growth. While those metrics remain important, they no longer provide a…

Why Financial Performance in Healthcare Is Shaped Long Before a Claim Is Submitted For many healthcare organizations, revenue cycle management has traditionally been viewed as a back-office responsibility. Claims are submitted, payments are processed, and denials are managed by billing teams working behind the scenes. But this model no longer reflects the reality of modern…

Primary care sits at the center of the healthcare system. It drives preventive care, manages chronic disease, and often serves as the first point of contact for patients navigating complex health needs. Yet in 2026, the financial environment surrounding primary care has become increasingly challenging. Margins are tightening. Staffing shortages persist. Payer scrutiny is increasing.…