A positive patient experience can quickly sour when difficult financial conversations enter the picture. High out-of-pocket costs and confusing medical bills make payments a sensitive issue for many patients. For providers, the challenge is clear: how to improve patient collections while delivering compassionate care. This article considers proven strategies and best practices to simplify patient collections, maximize revenue, and keep the focus on patient-centered care. The importance of optimizing patient collections for healthcare providers For… Improving patient collections: strategies and ..read more

“Our call strategies did not yield the desired outcomes, and we recognized the need for additional data to better support our goal. We were also mindful of the potential risk of staff burnout and the impact it could have on overall performance.” —Carey Lawrence, Revenue Cycle Administrator Customer Service and Self-Pay Collections, Weill Cornell Medicine Challenge Weill Cornell Medicine is a leading medical school and research institution with $1.3 billion in annual patient revenue. Facing… Case study: Weill Cornell increases collections by $15M with Collections Optimization Manager The post C ..read more

Finding missing health insurance is critical to keeping revenue cycles on track. Insurance eligibility verification is an important process providers use to confirm active coverage, including additional coverage a patient may have forgotten. According to Experian Health’s State of Claims 2024 survey, almost a fifth of providers say missing coverage is a top reason for claim denials. It helps providers determine what insurance a patient has and what’s covered and plays a key role in… Find missing health insurance for patients: why and how The post Find missing health insurance for patients: why ..read more

For five years straight, patients responding to the State of Patient Access survey have ranked “seeing a doctor quickly” as a top priority. Unfortunately, 94% of patients are still waiting more than two weeks for an appointment. Too many find themselves stuck in scheduling dead-ends, with unanswered calls, endless hold times and limited options when they finally get through. Providers are working hard to cut wait times, but an aging population, rising rates of chronic… Managing care with patient appointment scheduling software The post Managing care with patient appointment scheduling software ..read more

“You know when the Patient Access Curator went live because you can see it in our stock price. It helped us drive a $100 million bottom-line improvement within two quarters.” —Ken Kubisty, Vice President of Revenue Cycle at Exact Sciences Challenge Exact Sciences is a prominent cancer diagnostics laboratory with an annual net revenue of around $2.6 billion, that’s best known for its flagship cancer screening test, Cologuard. After a period of rapid growth demand… Case study: Patient Access Curator delivers $100 million boost to bottom line for Exact Sciences The post Case study: Patient Access ..read more

Ask any healthcare revenue cycle manager how they feel about using artificial intelligence (AI), and the response is likely to be “hopeful, but wary.” The potential is clear — fewer denials, faster reimbursements and more efficient workflows. However, with adoption slowing, it seems many have lingering concerns about implementation. According to Experian Health’s State of Claims survey, the number of providers using automation and AI in revenue cycle management has halved from 62% in 2022… AI in revenue cycle management: what providers should know The post AI in revenue cycle management: what ..read more

Collecting patient payments is an ongoing struggle. Bills are confusing, reminders go missed and patients can’t always afford to pay. Rising self-pay costs, new medical debt mitigation regulations, Medicaid changes and staff shortages all put added pressure on billing teams. The result is often poor patient financial experiences, wasted staff time and bad debt. As revenue cycle managers figure out a path forward in today’s complex – and costly – healthcare environment, analytics-based collections optimization… Boost self-pay collections: Novant Health & Cone Health’s patient collections su ..read more

No matter how much the healthcare industry evolves — whether through new legislative priorities or advances in AI and automation — one thing remains constant: the patient experience matters. Patients expect quality care, quickly. For five years running, timely access has been a top priority for patients, according to Experian Health’s State of Patient Access surveys. But efficiency is just the start. In an uncertain world, patients also need reassurance, reliability and compassion. For revenue… Improving the patient experience – why it matters The post Improving the patient experience – why it ..read more

Revenue cycle management (RCM) challenges exist at every stage of the patient journey – from patient intake and registration to insurance eligibility, claims processing and collections. Creating administrative efficiencies, reducing claims denials, improving the patient experience and remaining compliant with payer requirements and industry regulations all play a role in successfully managing revenue cycles and avoiding uncompensated care. This article takes a closer look at some of the top challenges in revenue cycle management, their… Healthcare revenue cycle challenges and how to overcome t ..read more

Improved automation and data-driven solutions are optimizing the patient collections process, even as providers face rising costs, shrinking reimbursements, looming changes to credit reporting, and an ongoing push toward greater efficiency. How do current solutions stack up against these challenges? Matt Hanas, Lead Product Manager at Experian Health, shares responses to some of the questions he’s hearing from around the industry. Q: Automation continues to be a buzzword in 2025, but what does it mean… Q&A: How can providers address challenges in the patient collections process? The post Q ..read more