Insights & analysis
Original reporting, practical analysis, and decision-useful intelligence for healthcare revenue-cycle leaders.
CMS’s final BPCI Advanced evaluation found about $800 million in Medicare savings. See where spending changed and the episode-control record TEAM-era revenue cycle needs.
CMS preliminary 2027 Medicare lab rates average about 16% lower, but code mix drives the real impact. See the data, timeline, phase-in, and revenue-cycle response.
Aetna is moving eligible oncology care from an average of four prior authorization requests to one bundle. Here are the episode-level controls revenue-cycle teams should rebuild now.
CMS has opened IDR Gateway accounts. Learn who must register, what changes January 15, 2027, and how to migrate federal IDR operations.
CMS expanded ACCESS with new condition tracks starting April 1, 2027. The larger revenue-cycle change is recurring payment tied to measurable outcomes.
