Coverage
Strategy, workflows, performance, and operating models across healthcare revenue cycle.
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.
