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Top RCM challenges and opportunities for healthcare finance leaders

The revenue management game has changed placing new demands on healthcare finance teams.  While some leaders have a grasp on what needs to happen, it's often difficult to know where to start with prioritizing initiatives and investments.

In partnership with AlphaSights Research, FinThrive gleaned insights from 100+ health system leaders to learn what challenges, strategies and investments are top-of-mind. Get a glimpse into some key findings below or download the full report.

Key market challenges impacting providers

Reduced visits post-pandemic and rising costs

Most organizations finished 2022 with negative margins, declining volumes and limited opportunities for growth. According to Kaufman Hall, it was the worst financial year for hospitals since the onset of the COVID-19 pandemic.1

Ineffective payer-provider collaboration

Hospital claim denials are up 10-15% over the last few years, primarily due to payer policy changes.2

Overburdened RCM departments

In a recent HFMA survey, 100% of respondents reported having at least one open revenue cycle role. Nearly 20% had more than 30 vacancies.3

Staffing shortages

Widespread burnout, high turnover, and soaring hospital labor costs (up 37% between 2019 and March 2022)4,  continue to keep health systems short-staffed.

Our research identified four strategic areas of interest for health system leaders

Increase revenue
Reduce costs
Improve patient experience
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Manage staffing shortages

Uncovering key initiatives

Increase revenue

Several critical industry shifts are signaling the need for additional cash flow making it more important than ever for leaders to find ways to capture additional revenue.

55%

Reduce denials

45%

Improve prior authorization process

29%

Improve coding accuracy

Manage staffing shortages

Hospital finance leaders are working to keep their employees happy this year. There’s also an effort to make jobs less burdensome through more technology and automation.

68%

Improve staff retention rates

58%

Implement RPA/automation capabilities

58%

Increase staff satisfaction and engagement

Identifying key investments

Reduce costs

There’s a large emphasis on RCM technology investments to address missing revenue, streamline claims processing and expedite reimbursements.

49%

RPA/automation capabilities

32%

Billing and coding reference library

32%

Remittance management solution

Improve patient experience

To enhance patient engagement and increase collections, leaders are investing in more digital tools across the patient journey.

63%

Payment estimation solution

59%

Virtual intake solution

56%

Patient payment solution

2023 RCM Transformative Trends Report cover

Want to know what’s working, what’s not and where your peers are making strategic bets?

Check out FinThrive’s 2023 RCM Transformative Trends Report to empower your organization to validate its own path forward and accelerate revenue.

Get the Report

1. “National Hospital Flash Report,” Kaufman Hall, May 2023, accessed May 22, 2023 

2. The State of Claims 2022, Experian Health, accessed May 10, 2023

3. “Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages,” Revcycle Intelligence, May 23, 2022, accessed April 13, 2023 

4. “The Financial Effects of Hospital Workforce Dislocation,” Kaufman Hall, March 2022, accessed July 12, 2023

5. “2023 RCM Transformative Trends Report,” FinThrive, June 2023