#third party payer

[titleknown]

...I feel like when people end up griping about how others say "both parties are the same" in the context of US politics, in pushing back against that sentiment they kinda overlook what's animating a decent part of it.

Cause, like, the parties are in fact very different, given one's the Unhinged Fascist Khorne Cult Party and the other is Everyone Else, but I've noticed that at the root of the complaint that the parties are the same; especially on the left; it's rooted in less what they do and more in what they won't do.

IE, the policies that would actually help them are so far outside of the Overton Window due to a combo of right-wing dominance and the Dems being bitch-ass cowards and brown-nosers, that they feel that the parties are interchangable because the results in terms of things that will get done for them is the same, IE jack shit.

Like, the big one is single-payer healthcare, but I think we can cite other examples, we've all seen 'em.

And like, y'all know me, I'm super critical of anti-electoralism, if only because we're not doing shit to solve my big issue (copyright being Too Fucking Long and Too Fucking Much) without engaging at least a bit with the electoral system, and ditto for a lot of other issues.

Instead of nonvoting or trying to brute-force third parties in a system designed to crush them, I generally believe in stuff like Ranked Choice Voting, the Interstate Voting Compact and murdering the filibuster as better levers to push so we can kill the two-party system and get shit done that isn't "blow up civillians overseas" or "pass yet another censorship bill"

But I feel like acting like people saying "both parties are the same" is nihilism and not a statement of feeling underrepresented aren't really helping, and comes off as apologizing for the assholes who failed them because they cared more about lobbyist money or institutionalism than human fucking life.

And it does so in a way that definitely isn't gonna get people to vote or; more importantly; isn't gonna help at getting those people on your side to do things to create a world where they actually are represented.

[starmocha]

Hi there. I'm back with theory #3 for Sylus' myth. Which....might be less evidence-heavy than the first two and really just me talking out of my ass. I started writing at midnight because that's just on brand clown behavior of me 🙃 ANYWAY...

People who haven't read Rafayel, Xavier, and Zayne's myths, please tread carefully, because I will touch upon them briefly and allude to events in their myths.

Quick recap from first post:

Theory 1: Sylus and MC must have been destined lovers in a past life, but due to whatever conflict, Sylus decided to break his bond with her for her protection and accept any punishment that comes with it, which could mean to be ruler of a place he has no desire for, an imprisonment of sort.

Theory 2: Destined lovers, but perhaps a third party interfered out of jealousy or spite. Could Sylus have been caught and framed of a crime and been literally imprisoned, thus forcing him and MC to separate?

So...I half-joked in a post that my new theory is that Sylus sold his soul to the devil. Or, you know, maybe he is the devil himself. This is partly stemmed from the Long-Awaited Revelry trailer, which has the word "demon" over a shot of him and later in the same trailer, one of Sylus' companion forms is aptly titled "Otherworldly Visitor". Make of that as you will.

And with the new trailer for No Defense Zone, we see that Sylus' right eye glows in a demonic way, similar to his in the LAR trailer. Even the atmosphere in both scenes seem a bit supernatural. Now....I didn't want to go there, but, um................do you suppose he is an incubus? 😭😭😭 The shot after "demon" has the word "desire," which can have a sexual connotation.

For those who don't know, an incubus is a male demon who preys on women sexually.......it would explain his kinky behavior in NDZ 💀 but I digress.......

Some of the first lines we hear from Sylus:

"Even if you wanted to sell your soul, you still have to find someone who can pay the price."

"Want some help? Yes? No? Maybe so?"

These lines reinforce the idea of "deal with the devil". In the new theme song, Visions opposées, the singer also sings this line: "Mais c'est le prix à payer" (But that's the price to pay). It could just be figurative, or it could hold some literal truth, because I found it interesting how that verse overlaps with Sylus' scenes. I doubt it's a coincidence since the devs are so good at planting seeds.

From the chorus, in order, we hear:

[MINOR RAFAYEL, XAVIER, & ZAYNE SPOILERS]

"But that's the price to pay / o'love" - Rafayel, God of the Sea, is separated by MC. His price? His civilization.

"Stars will always shine / But with pain" - Xavier and MC are separated (side note: I don't have the second half of Xavier's first myth yet, so I can't elaborate too much. But I've seen enough references to understand the scene depicted in the MV)

"Though separated / Hearts cling on" - Zayne (The Foreseer) is separated from MC in many lifetimes. The memories of their love are tied to the jasmine flowers even if they forget.

[END SPOILERS]

"That's the price to pay / Yet lovers endure forevermore"

This is the verse that plays over Sylus' scene. What is his price? Does the following verse mean that he and MC must always endure something? Hardship? Misfortune?

When the chorus repeats a second time near the end, all of the above verses coincide with the intended love interest. It absolutely can be argued that all four love interests paid a price for their love, and not just Sylus. This whole tangent was brought up to follow with the whole "deal with the devil" aspect. As stated previously, I wouldn't be surprised if the devs and songwriters intended for the lyrics to have layers upon layers of meaning in relation to the stories.

Also take into consideration the lyrics from the song in Sylus' first official trailer, Tangible Shackles:

The outlaw again celebrates this encounter in fate It's time to break the seal they set in mind It's time they will have to pay the price

To me, though, in this song, the verse sounds very vengeful. It sounds almost vindictive, as if someone must be punished for whatever wrongdoing done against Sylus.

Watching the interview for Visions opposées, it seems the LADS team has shared enough of the intended stories for the songwriters to understand and pen the songs we hear. I trust that there will be complete clarity to the lyrics once we're able to understand Sylus' myth.

Love is the privilege of mortals

A gift the gods covet in vain

Astra, you ass, is that you

Now remember the first official trailer for Sylus? Yeah. Long-Awaited Revelry. Do you know what "revelry" mean? 'Cause I sure as heck didn't and kept wanting to read it as rivalry

revelry. noun. a situation in which people are drinking, dancing, singing, etc. at a party or in public, especially in a noisy way. — Cambridge Dictionary

To put it simply, "long-awaited party," which with the new knowledge of the timeline of scenes shown, we can clearly see a scene of MC entering a ballroom where Sylus is at in the trailer.

What type of party is this? Long-awaited? Maybe an engagement? In the MV, you can catch a brief glimpse of guests in the background watching MC enter. It seems almost like Sylus is waiting to show her off. The dance they share also seem intimate, and Sylus' expression is very soft and tender.

Previously, I alluded that it looks like MC and Sylus' wrist are bounded by a thread, similar to the Red Thread of Fate, but afterwards, I had my doubts, and if in keeping with the theme of being trapped, perhaps they were actually cuffed? I have previously mentioned that handcuffs have shown up often in the trailers.

To be cuffed together makes it seem like it wasn't a choice for one or both people. Kind of pondering if maybe MC might have sold her soul to Sylus, thus becoming bounded to him?

I have also made a lot of references to the myth of Hades and Persephone previously (still holding onto it with every fiber of my being tbqh), BUT for the sake of this third theory, let's revise the above scene to mean...

Sylus, a demonic creature, is trapped on the dark side while MC is a mortal on the light side (mortal realm). He knows their love can never be, so he forces whatever bond they made together to break, setting her free to remain in the mortal realm while he remains trapped in the Underworld.

Interestingly, Sylus conjures up a gun, pressing it to his chest where his heart would be. And he makes MC shoot him. ....thus breaking their bond? Or killing him idk man

This appears to be the following appearance of him after he is shot in his chair:

I'm sorry if this seems out of left field and my mind works in a weird way, but.....the scene above kind of made me think of the Roman/Greek myth for Cupid/Eros and Psyche. Rather, I was thinking of the scene where after her jealous sisters manipulated her and planted seeds of doubts, Psyche betrays her husband's trust and broke her promise to not view his face and learn of his identity. She carries a dagger with the intention of killing him.

In the aforementioned myth, Psyche does journey into the Underworld during a final trial set forth by Cupid/Eros' mother, Venus/Aphrodite. Other than that, there might not be many other correlations I can make in regard to the scene depicted in Visions opposées.

Speaking of Cupid (Roman name, but aka Eros in Greek mythology), however, it's also worth noting that Cupid was described as a "demon of fornication" by some mythographers. Take this part with a grain of salt since this was due to adapting the Roman myth for Christian usage. I do, however, vaguely recalled in some Greek/Roman myths, Eros/Cupid was viewed as devious by the other gods due to him being able to make both mortals and the gods fall in love depending on his whims, be it out of mischievousness or malice.

So....Cupid....God of desire....erotic love.............that earlier incubus comment I made?? 😭 This part I am definitely pulling out of my ass. 💀 Let's just wrap this post up. 🫠

If we look at the myth from the angle that Sylus is a demon, then....

Theory 3: Sylus is a demon who has come across MC, and for whatever reason, she is desperate to make a deal with a demon, thus bounding herself to him. Perhaps over time, Sylus grows to adore her, but maybe MC betrays his trust, whether it be intentional or at the manipulation of others? Could he have tested her when he made her shoot him? Was he willing to die for her, even if it's at her hands?

Uhhhh.....yeah. This theory seems more far-fetched. 🫠 Well, thanks for your time! If any of the crumbs I've presented stirred any theories from you all, I'd love to hear it! Bye. 💕

[youandthemountains]

commissioned art with a premise I Hate: do you block the artist who after all is a third party just interested in the cash, or figure out who the unnamed payer is and just block them

[rightmedicalbillingllc]

Why You Need to Outsource Medical Billing Services to a Third-Party Medical Billing Company

In today's complex healthcare landscape, managing medical billing can be a daunting task for healthcare providers. From coding and claims submission to payment posting and denial management, the intricacies of medical billing can significantly impact a practice's revenue cycle. Outsource medical billing services to a third-party medical billing company can streamline operations, improve efficiency, and ultimately boost your bottom line.

Benefits of Outsourcing Medical Billing Services

Enhanced Efficiency: A dedicated medical billing company has the expertise and resources to streamline your billing processes. They can automate tasks, reduce errors, and accelerate claim processing, leading to faster payments.

Increased Revenue: By outsourcing, you can ensure accurate and timely claims submission, minimizing denials and maximizing reimbursement. A specialized billing company can identify and recover lost revenue, optimizing your revenue cycle.

Reduced Administrative Burden: Offloading medical billing tasks to a third-party company allows your staff to focus on patient care and other core competencies. This frees up valuable time and resources, improving overall productivity.

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Improved Cash Flow: Timely claim processing and efficient payment collection can significantly improve your cash flow. A dedicated billing company can optimize your revenue cycle, ensuring you receive payments promptly.

Challenges of In-House Medical Billing

High Staffing Costs: Hiring and retaining qualified billing staff can be expensive, especially in competitive markets.

Complex Regulations: Keeping up with the ever-evolving healthcare regulations requires specialized knowledge and ongoing training, which can be a significant burden.

Time-Consuming Tasks: Manual data entry, claim submission, and follow-up can be time-consuming and prone to errors.

Limited Expertise: In-house staff may lack the specialized expertise to handle complex billing scenarios and appeals processes effectively.

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How Right Medical Billing LLC Can Save Your Money and Time

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Dedicated Account Managers: You'll have a dedicated account manager to oversee your billing operations, ensuring smooth communication and timely resolution of issues.

Improved Cash Flow: Our efficient follow-up and denial management processes help you collect payments faster, improving your cash flow.

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Reduce Costs: Our cost-effective solutions can help you save money on staffing, technology, and overhead expenses.

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In conclusion, outsourcing medical billing services to a reputable company like Right Medical Billing LLC can provide numerous benefits, including increased efficiency, improved revenue, reduced administrative burden, and enhanced compliance. By partnering with us, you can streamline your operations, improve your cash flow, and focus on what matters most: providing quality patient care.

[queen-esther]

I'm so glad to find another woman on this site who is happy that Kamala lost and that Trump's team won. My immediate family, my church, and even my county are very relieved, but I haven't seen much of that relief here. Unsurprisingly so, because I know how pro choice tumblr is, even compared to the US population. I know a lot of pro life activists have been saying that neither candidate was going to further the pro life movement, but Kamala's campaign was outright hostile to the pro life movement, whereas Trump at least has some pro lifers on his team. Trump also allows individual states to ban abortions, whereas Kamala would probably try to legalize it everywhere.

Yes, exactly. Neither side is perfect, but I wasn’t about to let perfect be the enemy of good when making my decision to vote. Trump has always said he wants to leave the abortion issue up to the states, and frankly, he’s the President who appointed some of the Supreme Court Justices responsible for overturning Roe in the first place. Since he won this election, there’s a very good chance he will have more SC picks that could tip the odds further in our favor in the future, too. As a pro-lifer, this was the most desirable outcome of the two, as there was a very real danger of President Harris signing federal abortion access into law if it was brought to her desk, trying to push through executive orders favoring abortion, making tax payers pay for abortions, appointing Justices who would be sympathetic to the pro-choice cause, and more. Trump has not tried and will not try to do any of those things. There was no way I could stomach voting third party or abstaining from voting with the crossroads we were at.

[anarkittyuwuuniverse]

"Although DSM III considerably expanded the range of behaviors defined as markers of mental disorder, the manual never actually defined what exactly qualified these behaviors as mental disorders. The creation of a classification system in which symptoms signified and thus qualified as markers of a mental or emotional disorder now pathologized a wide range of behaviors. For example, “oppositional disorder” (coded 313.81) is defined “as a pattern of disobedient, negativistic, and provocative opposition to authority figures,” “histrionic personality disorder” (coded 301.50) occurs when individuals are “lively and dramatic and always drawing attention to themselves,” and “avoidant and personality disorder” (coded 301.82) is characterized by “hypersensitivity to potential rejection, humiliation, or shame and unwillingness to enter into relationships unless given unusually strong guarantees of uncritical accep-tance.” With the attempt to carefully codify and classify pathologies, the category of mental disorder became very loose and very wide, including behaviors or personality traits that merely fell outside the range of what psychologists postulated was “average.” Behaviors or personality features that might have been previously categorized as “having a bad temper” were now in need of care and management and were henceforth pathologized. Herb Kutchins and Stuart Kirksuggest that the codification of pathologies is related to the close connection between mental health treatment and insurance coverage. DSM III grew out of the need to make the relationship between diagnosis and treatment tighter so that insurance companies (or other payers) could process claims more efficiently. As Kutchins and Kirk put it, “DSM is the psychotherapist’s password for insurance reimbursement.” DSM—which provides the code numbers to be listed on the claims for insurance reimbursement—is the bridge connecting mental health professionals and such large money-giving institutions as Medicaid, Social Security Disability Income, benefit programs for veterans, and Medicare. Not only is it used by the majority of mental health clinicians, but it is increasingly used by third parties such as “state legislatures, regulatory agencies, courts, licensing boards, insurance companies, child welfare authorities, police, etc.” In addition, pharmaceutical industries have an interest in the expansion of mental pathologies that can then be treated with psychiatric medications. As Kutchin and Kirk eloquently put it, “For drug companies, . . . unlabeled masses are a vast untapped market, the virgin Alaskan oil fields of mental disorder.” Thus the DSM, willfully or not, helps label and chart new mental health consumer territories, which in turn help expand pharmaceutical companies. Hence the expansion of the category of mental illness, dysfunction, or emotional pathology is related to the professional and financial interests of mental health professionals and drug companies. It is also related to the increasing use of psychological categories to claim benefits, compensations, or extenuating circumstances in courts. In this process, the DSM has clearly considerably enlarged the scope of psychologists’ authority, who now legislate over such questions as how much anger may be appropriately expressed, how much sexual desire one should have, how much anxiety one should feel, and which emotional behaviors should be given the label of “mental disease.”" -Saving the modern soul: Therapy, emotions and the culture of self-help by Eva Illouz

[sasquatchandleatherjacket]

I can’t understand how anyone can sit through a hospital budget meeting and still think for-profit health insurance is our best option. 118 days on average to close an account. Massive increase in denials. BILLIONS of dollars a year that third party payers not paying out just at my one hospital alone. And of course, those scum buckets are posting record profits quarter after quarter. How have we collectively been brainwashed into accepting this. Shareholders are getting rich by denying CT scans and chemo for children with cancer and half the country is like “fuck yeah I love my shitty commercial insurance! Freedom!!!!”

[follow-up-news]

Consulting firm McKinsey & Co has agreed to pay $78 million to resolve claims by U.S. health insurers and benefit plans that it fueled an epidemic of opioid addiction through its work for drug companies including OxyContin maker Purdue Pharma. The settlement was disclosed in papers filed on Friday in federal court in San Francisco. It marked the last in a series of settlements McKinsey has reached resolving lawsuits over the U.S. opioid epidemic. Plaintiffs accused McKinsey, one of the leading global consulting firms, of contributing to the deadly drug crisis by helping drug manufacturers including Purdue Pharma design deceptive marketing plans and boost sales of painkillers. McKinsey previously paid $641.5 million to resolve claims by state attorneys general and another $230 million to resolve claims by local governments. It has also settled cases by Native American tribes. Friday’s class action settlement, which requires a judge’s approval, resolves claims by so-called third-party payers like insurers that provide health and welfare benefits.

[dumbestthingiveeverheard]

Dumbest Thing I've Ever Heard: 7/31/2023

Fifth Place: Erick Erickson

On 7/30/2023, Mr. Erickson tweeted the following:

Starting to see more and more progressives demand public swimming pools. Get ready for the next entitlement program.

Not public swimming pools! Anything but public swimming pools!

By the way, the top reply is somebody pointing out that the city Erickson lives in--has multiple public swimming pools:

I'm sorry, I can't get over this: Erickson is seriously concerned that progressives are going to--what exactly? Use tax payer dollars to make the community better? That's really something you view as a concern? As one Twitter user put it:

i like that the worst thing this guy can imagine is americans collectively deciding to use the wealth they produce and the taxes they pay to give themselves something nice

Fourth Place: Stephen Strang

Right-wing watch posted a clip of him on Friday talking about allowing drag queens to read to children, he says "They would not let someone dressed up in a Nazi uniform go in and read stories to children."

First off, who exactly is the "they" in this case? Second off, there is obviously no comparison between the ideology of the most genocidal and murderous regime of the twentieth century and people dressing in drag, and the fact that you think these two things are on even remotely the same level shows there is something wrong with you.

Third Place: Donald Trump

NBC reached out to forty-four of Trump's former cabinet officials to see how many of them would support his 2024 run for re-election--only four did. Those four, for those curious, are Mark Meadows, Ric Grenell, Matthew Whitaker, and Russ Vought. A Tea Party holdover who played a key role in the Freedom Caucus until he was made Trump's Chief of Staff and who appeared in a debunked creationist propaganda film, a small time ambassador who once got into a fight with Nick Fuentes over if he was immoral for being a homosexual, a failed Congressional candidate turned Attorney General, and a man who is only known for hindering Biden's transition to the Presidency, respectively.

What I find funny though is not that this group of nitwits have endorsed Trump's re-election, but that they are the only ones who worked with Donald Trump to have done so. If so few of the people who were around Donald feel comfortable giving him a second term, what should that say to the rest of us?

Second Place: Jonathan Chait

What's wrong with this picture?

If you said the fact that it implies the corruption of a Supreme Court Justice is on the same level as the corruption of the son of the President despite one actually having the power to impact people's lives and the other not, you'd be correct. However, this false comparison is the entire basis of New York Magazine's article "The Sleaze Problem: How Democrats can clean up the Supreme Court and address the Hunter Biden affair." Why Democrats need to address the Hunter Biden affair--which is little more than trumped up charges against a private system--I'm not sure.

The column even sees its author admitting that nothing Hunter Biden did was illegal while also accepting the incorrect notion that nothing Clarence Thomas did was illegal.

The article proposes that Democrats should propose an ethics code for the Supreme Court while aiming for Republican support through also creating a stricter ethics code around the actions of family members of politicians. Of course, Chait admits this wouldn't actually work because doing so would indict the Trump kids even more than Hunter Biden--but on the bright side, at least the Democrats now have an answer for the irrational and nonsensical charges against Hunter Biden. If only Democrats would play into GOP talking points, that would show them.

Winner: Samuel Alito

Did you know that nothing in the Constitution gives Congress the power to regulate the Supreme Court? Well that's what Samuel Alito thinks--of course, it isn't actually true. Congress specifically has the power to stop courts from ruling on specific issues, to determine who is on the Supreme Court, and various other forms of regulation--but Alito doesn't want to mention that, because that could get in the way of his power grab.

Samuel Alito, you've said the dumbest thing I've ever heard.

[healthinsurancethings]

Medical Claim Repricing: How It Is a Smart Way to Manage Healthcare Costs

The rising healthcare costs in the U.S. are making it quite a difficult situations for individuals, employers, and insurers managing expenses. One effective way to reduce costs without affecting the quality of care is through medical claim repricing.

What Exactly is This Medical Claim Repricing? It refers to the scrutiny and adjustment of medical bills on rates that have been pre-negotiated by the providers and payers. It pays for healthcare services at fair, contracted rates, as opposed to inflated charges. This model is designed to be used by an insurance company, self-funded employer plans, and third-party administrators (TPAs).

With the advent of the medicare pricer model, the healthcare sector can reap the benefits of claim repricing through transparency, accurate billing, and savings from wasteful spending. Here are its benefits:

Cost Savings: Repricing drastically brings down the total amount one pays for medical services.

Accurate Billing: It fixes overcharges and makes claims suitable for the agreed rates.

Better Plan Management: It enables employers and insurers to manage healthcare budgets efficiently.

Conclusion Medical claim repricing is a smart and proven method in controlling access to healthcare and its fair pricing. It is a win-win for all- the patients, providers, and payers. The model not just promotes transparency but also financial stability in the healthcare system.

[marketingkatalysts]

Digital Marketing for Healthcare: 3 ABM Strategies that help Digital Health Companies Win Enterprise Deals in 2025

Enterprise decision-makers in healthcare aren’t swayed by flashy ad creatives or one-size-fits-all emails. Today’s buyers- CIOs, CMOs, clinical leads and procurement heads expect relevance, trust and data-backed value from the very first touchpoint.

That’s where digital marketing for healthcare is evolving fast; from mass outreach to precision-targeted, Account-Based Marketing (ABM) that speaks directly to the complex needs of enterprise clients.

According to a 2024 Forrester report, 92% of B2B healthcare marketers say ABM delivers better ROI than traditional campaigns, while ABM-powered teams see up to 2X the engagement rates when targeting large healthcare organizations.

In this blog, we unravel 3 proven ABM strategies digital health companies are using in 2025 to cut through the noise, establish credibility and win big with enterprise healthcare clients.

1. Use AI-Powered Personalization to Refine Your Digital Marketing for Healthcare Enterprises "The future of healthcare marketing isn’t more content; it’s more relevant content, delivered at exactly the right time." 

-Jon Miller, CMO at Demandbase

Healthcare buying decisions are rarely made by one person. You’re not just convincing a CMO, you’re navigating through clinicians, CIOs, procurement leads, compliance officers and often, finance heads as well.

To effectively reach each one, AI-powered personalization is no longer optional, it’s a non-negotiable. In fact, digital healthcare companies are now using AI to:

Analyze real-time intent data and content interactions

Create buyer journeys customized by persona and decision-stage

Dynamically serve web experiences based on firmographic insights

Here's a Case in Point:

One leading remote diagnostics startup segmented its target accounts by payer vs. provider personas. Using tools like 6sense and Mutiny, it delivered customized email flows and website messaging based on a visitor’s industry and location. This led to:

40% increase in engagement time

30% rise in Marketing qualified accounts (MQAs)

Pro Tip:

Use AI tools not just to personalize the “first touch”, but the entire journey from awareness through consideration and sales enablement.

2. Build Trust-Driven Campaigns: Use Content as Your Lead Negotiator

"People don’t buy what you do; they buy why you do it." 

-Simon Sinek

In digital marketing for healthcare, content does more than educate; it builds credibility in a market where decision-making stakes are high.

Enterprise healthcare leaders are inundated with compliance risk, integration issues and vendor fatigue. What they crave is clarity and proof.

Here's what works:

Third-party validated case studies

Clinical impact reports with outcome metrics

Compliance-focused webinars featuring subject-matter experts

Co-branded research with reputed healthcare organisations

Real-World Example:

A chronic care management platform created a hospital CIO briefing kit that included anonymized EHR integration data, financial impact metrics and a 3-minute peer video testimonial. They deployed it via email and paid LinkedIn in a multi-touch ABM flow. The result?

52% open rate, 22% reply rate and a 3X increase in sales-qualified meetings.

Here's how you can add value through Thought Leadership:

Publish data-backed insights with respected associations like HIMSS or Becker’s.

Use the ���teach before you sell” principle and give your audience tools and proof before the pitch.

Layer messaging with social proof: “Here’s how a hospital just like yours achieved this outcome.”

3. Align Sales and Marketing to create a Revenue Machine

“When sales and marketing are in sync, revenue soars. When they aren’t, it flatlines." 

-Jill Rowley, ABM Evangelist

The most underrated strategy in digital marketing for healthcare? True sales-marketing alignment. It’s more than having a shared Slack channel. It’s about jointly owning:

ABM campaign planning and outreach cadences

Shared pipeline metrics and win/loss insights

Account intelligence and lead scoring models

Here's a real-world example for you:

A digital health SaaS brand unified its HubSpot marketing workflows with Salesforce sales dashboards, creating a shared “enterprise ABM board” across teams. Each account had:

A custom engagement score

Real-time signals from emails, content, and site visits

Pre-approved messaging templates tailored to buyer stage

The Outcome

Sales reps got weekly engagement alerts, while marketing adapted nurture flows based on real-time deal movement. In fact, the Enterprise Conversion Rate jumped by 42% and reps reported 20% shorter sales cycles.

Some Industry-leading Practices to follow:

Use bi-weekly alignment meetings to audit pipeline health

Share content performance data and rep feedback in one loop

Run post-campaign retros where both teams analyze performance and recalibrate together.

Final Thoughts: Why ABM is your best bet in 2025

In the world of digital marketing for healthcare, ABM is no longer a tactic. Rather it’s a go-to-market strategy that reflects how enterprise buyers actually make decisions.

The digital healthcare brands winning right now are those who:

Personalize deeply with AI

Lead with proof-driven storytelling

Operate as a single revenue team

By implementing these strategies with precision and purpose, you can turn cold leads into real opportunities and complex healthcare stakeholders into long-term partners.

Let’s Build a Winning ABM Campaign, together

At Katalysts, we design data-rich, conversion-optimized digital marketing strategies tailored for healthcare enterprises. Whether you're entering new markets or scaling across hospital systems, we help you create content, campaigns and customer journeys that convert.

We’ll help you reach the right people with the right message, at the right time.

Book a consultation with Katalysts’ Marketing Experts today!

Source: This blog is first published on Katalysts.net

[process-smart]

Why Accounts Receivable Outsourcing Services Are a Game-Changer for Cash Flow

Let’s be honest—chasing unpaid invoices is nobody’s idea of a good time. It’s frustrating, time-consuming, and can seriously affect your cash flow. That’s why more businesses, especially small and mid-sized, are turning to accounts receivable outsourcing services to keep things running smoothly. If you’re tired of playing bill collector, it might be time to consider a more innovative way.

Time Back in Your Day

When you handle accounts receivable in-house, someone on your team has to make reminder calls, send follow-up emails, and manage payment disputes. It’s a lot. Outsourcing this task frees up valuable time, allowing you and your team to focus on what matters, like serving customers and growing your business. Imagine getting those hours back every week!

Faster Payments, Healthier Cash Flow

The longer an invoice goes unpaid, the harder it is to collect. Professional accounts receivable outsourcing services are designed to streamline this process and reduce delays. They follow up promptly, track down slow payers, and often use automation to stay on top of it all. The result? You get paid faster—and that means more predictable cash flow to keep your business moving forward.

Better Customer Relationships

It might seem odd, but outsourcing can improve your relationship with your customers. When a third party handles collections, it removes some of the awkwardness that can come with overdue payments. You’re no longer the “bad guy” chasing money. Plus, professional services are trained to be firm but courteous, keeping things professional without burning bridges.

Expertise You Can Count On

Managing receivables isn’t just about sending out bills. It involves staying on top of aging reports, payment terms, credit limits, and more. Most accounts receivable outsourcing services come with a team that knows the ins and outs of this stuff. They bring systems and experience that help prevent issues before they start, saving you headaches.

Scalable for Growth

As your business grows, so does your list of clients and invoices. What worked when you had ten accounts won’t cut it when you have a hundred. Outsourcing your receivables gives you a system that scales with your business, without needing to hire and train new staff.

In the end, accounts receivable outsourcing services can be a total game-changer—not just for your finances, but for your peace of mind too.

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There's supposedly over 161 million registered voters in the U.S., in 2024 (it was 168 million in 2020, apparently about 7 million people died or got taken off the registration, which might be voter suppression) a total of about 141 million votes have been counted for both Harris and Trump so far.

And there's millions more citizens who are eligible to vote but have never been registered.

Trump won the popular vote by about 5 million this time, but there's still about 20 million people on the voter rolls who evidently aren't part of the Democrat+Republican totals. Those 20 million (and, votes are still being counted, so the final total might be less, though I did round the Trump total up to 73 million and the Harris total up to 68 million, for my convenience) either didn't vote (at least for the presidency) or voted third party.

Since the electoral college is what decides who the president is, though, it does depend on where those 20 million live. And I'm doing this on my phone, and don't have the time or energy to do that statistical breakdown for every single state, how many registered voters per state vs. how many people did or didn't vote in that state.

Harris got about as many votes as Clinton in 2016, maybe a few million more, Trump got about as many votes as he got in 2020, if a little less.

A lot of the swing states that went for Trump, did have Abortion initiatives and other progressive initiatives on the ballot, many of which passed, and a few of them supposedly had local elections that went blue, even when the counties themselves still went for Trump, or the district voted for a republican for a congressional seat.

And, like, that's odd, honestly. Like, a possible explanation is that, progressive voters turned up, voted for a democratic mayor or state senator or governor or abortion rights or whatever, then left all the federal selections blank. Because while state legislatures and governors can't actually do a lot about foreign policy, they can, in fact, do things to people in their states and cities.

But for that to be true it would require a big difference between the vote totals for Trump+Harris in those states and the vote totals for those down-ballot races, and. There doesn't seem to be, at first glance? It seems like otherwise democratic voters, or voters who voted for progressive ballot initiatives. Voted for Trump anyway. And 20 million registered voters just didn't turn up.

And, to be cynical for a moment? It isn't like the Israel/Palestine conflict started on October 7th. Palestinians have suffered wrongdoing by the government of Israel since the modern state of Israel's founding, and Israel has had better weaponry and American support for a very long time and they've definitely dropped bombs before. And they've also had the illegal settlements in the West Bank for years.

And all of that was also already true in 2020, and Biden supported Israel back then too. His political stance on Israel didn't change between then and now. Biden already said he would never support Medicare for all, or single-payer healthcare, everyone knew he was moderate/conservative, right-wing, on a lot of issues. Biden in 2020 had some support from some "never Trump" Republicans who endorsed him as well.

And Biden could be associated with Obama and Obama's handlings of the wars in Iraq and Afghanistan, as Obama's VP. And the U.S. armed forces who actually answered to Obama were the ones doing war crimes and drone and missile strikes for that.

But it seems like Biden was able to get away with it and get 10 million more people to vote for him, very possibly, because he was a white guy. The same complaints had a harder time. Sticking.

Its not like nobody had complaints about the Biden campaign's mismanagement. His history of gaffes, the time he was in a basement and nobody saw him for weeks.

Then again, maybe Biden just got lucky that Covid happened, and Trump clearly and obviously mismanaged it. And Harris, in turn, got associated with the slow economic recovery from Covid, lead by the Biden Admin, and with all the wars in Ukraine and Israel/Palestine that Biden evidently didn't do well enough resolving.

Wars that, again, had already been happening, going back to when Putin's Russia annexed Crimea back in 2014, and, again, the very long history of the Israel-Palestine conflict. But I guess people don't care as much when it isn't in their news feeds or their social media timelines.

...Honestly. The thing that gets me about the popular vote totals is that. Trump went from 63 million in 2016, to over 74 million in 2020, and he's still at almost 73 million now.

So, yeah, there's 20 million people who didn't vote this year, aside from the millions who aren't registered, but. 10 million more people voted for him than voted for him the first time he won.

And. That's a lot scarier to me, in all honesty.

"I don't want to see anyone blaming abstaining voters for this!"

Of course you don't. The entire idea of abstaining was that you could pretend this didn't involve you. Not getting blamed was more important to you than doing any kind of damage control, more important than protecting any of the people you said you wanted to protect. And in this moment, I don't really care what you want. Of course, this isn't entirely your fault. Of course other people made this worse. But if you're going to pretend you had nothing to do with this, forgive me if I ignore you.

[healthcarercmservices]

Cloud-Based RCM Platforms: Pros and Cons in 2025

In 2025, cloud-based healthcare revenue cycle management services platforms have moved from being an emerging trend to a mainstream solution in healthcare finance. As providers look to streamline administrative operations, improve claim accuracy, and adapt to increasingly complex payer rules, cloud-based RCM solutions offer flexibility, scalability, and real-time capabilities that traditional systems often lack. However, despite their growing popularity, these platforms come with both advantages and challenges that healthcare organizations must carefully weigh.

What Are Cloud-Based RCM Platforms?

Cloud-based RCM platforms are software solutions hosted on remote servers and accessed through the internet. Unlike on-premise systems, they require no physical infrastructure or local installation. These platforms manage key revenue cycle tasks such as patient registration, patient eligibility and benefits verification services, charge capture, coding, billing, claim submission, denial management, and collections all within a cloud environment.

The Pros of Cloud-Based RCM Platforms

1. Anywhere, Anytime Access

One of the biggest advantages of cloud-based RCM is accessibility. Billing teams, coders, and revenue cycle managers can log in from any location, enabling remote work and 24/7 access to financial data. This is especially important in the post-pandemic landscape where hybrid and remote workforce models have become standard in healthcare.

2. Scalability for Growth

Cloud platforms grow with your practice. Whether you’re expanding locations, adding new specialties, or merging with another provider, cloud systems scale without needing costly upgrades or IT overhauls. This flexibility allows small practices and large health systems alike to customize their RCM workflows without outgrowing their technology.

3. Real-Time Data & Analytics

Modern cloud-based RCM tools offer dashboards and real-time analytics that help organizations monitor performance indicators such as denial rates, days in A/R, and clean claim rates. These insights enable proactive decision-making and faster issue resolution. You can spot revenue leaks and fix workflow inefficiencies before they snowball into financial losses.

4. Lower Upfront Costs

Unlike on-premise systems that require heavy investments in hardware and IT personnel, cloud-based RCM typically follows a subscription-based model (SaaS). This reduces initial setup costs and makes budgeting more predictable. Healthcare providers only pay for the features they need.

5. Improved Security & Compliance

Leading cloud RCM vendors in 2025 offer enterprise-level security features such as data encryption, regular backups, multi-factor authentication, and HIPAA-compliant hosting environments. These safeguards often surpass what smaller practices can implement on their own.

6. Faster Updates and Integrations

Cloud-based platforms receive automatic updates, which means your system is always up to date with the latest billing codes (like ICD-11), compliance changes, and payer rule modifications. Integration with EHRs, clearinghouses, and other third-party systems is typically seamless and quicker in the cloud.

The Cons of Cloud-Based RCM Platforms

1. Dependence on Internet Connectivity

Cloud-based systems rely entirely on internet access. If your connection is unstable or goes down, your team may be locked out of critical billing and collections tasks. While most vendors have offline fallback options or mobile apps, connectivity is still a potential weak point, especially in rural areas.

2. Recurring Subscription Costs

While the initial investment is lower, monthly or annual SaaS fees can accumulate over time. Practices with thin margins must ensure that the long-term cost of the cloud solution aligns with their budget. It’s important to evaluate the return on investment (ROI) from improved collections and efficiency.

3. Data Migration and Transition Challenges

Switching from legacy systems to the cloud can be complex and time-consuming. Migrating sensitive financial and patient data carries risks of loss or corruption. A poorly executed transition can disrupt revenue cycles and frustrate staff. It’s crucial to work with experienced vendors who offer comprehensive onboarding and migration support.

4. Vendor Lock-In and Limited Customization

Some cloud RCM vendors may limit customization or charge extra for tailored features. This can create dependency on one vendor, known as "vendor lock-in." In 2025, more providers are seeking platforms with open APIs and customizable modules to avoid this risk.

5. Security Concerns (Despite Improvements)

Despite enhanced security measures, storing patient and financial data offsite still raises concerns for some providers. A breach at the vendor’s end, even if rare, can affect thousands of records. This makes due diligence in vendor selection and understanding shared responsibility models more important than ever.

Making the Right Choice in 2025

Choosing the right RCM platform in 2025 means balancing cloud advantages with operational realities. Practices should evaluate:

Integration compatibility with EHRs, clearinghouses, and patient portals

Vendor support for training, migration, and ongoing updates

Security certifications and compliance with HIPAA, HITRUST, and SOC 2

Customization capabilities to align with unique workflows

Transparent pricing models that scale with growth

Final Thoughts

As RCM continues to evolve in 2025, cloud-based platforms are no longer just a tech upgrade; they're a strategic asset. They empower providers to improve financial outcomes, reduce administrative burdens, and adapt quickly to industry changes. However, success depends on selecting a solution that aligns with your organization's size, specialty, and long-term goals.

Cloud-based RCM isn't a one-size-fits-all answer, but for many healthcare practices, it's the key to building a future-ready revenue cycle.

[brookemedbil]

Comprehending Medical Billing Clearinghouses: Streamlining Your Revenue Cycle for Maximum Efficiency

Understanding Medical Billing Clearinghouses: Streamlining Your Revenue Cycle ‌for Maximum Efficiency

Teh‍ field of healthcare is complex, and so is the process of medical billing. For healthcare ⁤providers, ensuring timely and ​accurate payments is crucial for business sustainability. One of the unsung heroes in this process ⁣is the medical billing clearinghouse. ⁢In this‌ article,⁢ we’ll dive deep into⁢ how these entities ‌work, their benefits, and how they can ⁣streamline your revenue cycle for maximum efficiency.

What is​ a Medical Billing Clearinghouse?

A medical billing⁤ clearinghouse is a third-party intermediary that processes and validates healthcare claims. They serve as a bridge between healthcare providers and insurance companies by ensuring that claims are correctly formatted ‌and compliant with regulations ⁣before they are submitted to insurers.

How Do Medical Billing⁣ Clearinghouses Work?

Claim Submission: Healthcare⁤ providers submit claims to the clearinghouse.

Claim Scrubbing: The clearinghouse checks for ‍errors and compliance issues.

Reformatting: Claims are reformatted as necessary for different insurance carriers.

Resubmission: ‌ Correct claims are sent to the respective payers.

Benefits of Using Medical Billing Clearinghouses

integrating ‌a medical billing clearinghouse into your revenue cycle offers numerous advantages:

1.Enhanced Accuracy

Reducing errors is essential in medical billing.Clearinghouses utilize advanced⁤ technology ⁣to identify discrepancies, thus enhancing‌ the overall accuracy of ‌claims.

2. Increased Revenue

With error reduction, the likelihood of claim denials decreases,‌ leading to faster reimbursements and improved cash flow.

3. Time Savings

Automating the submission process saves significant time​ for healthcare staff, ‌allowing them to focus⁤ on patient⁤ care rather​ than ‍billing issues.

4. Regulatory Compliance

Keeping up with healthcare regulations is daunting. Clearinghouses ensure that claims meet the latest regulatory requirements, protecting providers from compliance penalties.

5. Reporting⁤ and Analytics

Many⁢ clearinghouses provide analytics tools that help practices analyze their billing data, providing insights into⁣ trends and areas for betterment.

Practical Tips for Choosing a Medical Billing Clearinghouse

When selecting a clearinghouse, consider the following tips:

Compatibility: ​ Ensure that ‌the clearinghouse integrates seamlessly with your existing EHR or practice management software.

Customer Support: ‌Look for a provider that offers robust customer service⁤ and support to address any issues promptly.

Pricing Structure: Compare different clearinghouses ⁣to⁣ find one that offers competitive pricing⁣ and transparent fees.

Reputation: Research online reviews and case studies to gauge the clearinghouse’s reliability and efficiency.

Case Studies: Real-world Applications of Medical Billing⁤ Clearinghouses

Healthcare Provider

Clearinghouse Used

Outcome

ABC Family Clinic

ClaimFast

Reduced claim denials by 25%‍ within 6 months

XYZ‌ Hospital

SafeSubmit

Improved revenue cycle efficiency by 40%

healthplus Associates

ClearClaim

Achieved a 30% faster reimbursement rate

First-Hand Experiance: A Provider’s Journey

Maria, a billing manager at a medium-sized family practice, shared her ‌experience: ‌”Before using a clearinghouse, our denial rate ​was at an all-time high, which impacted our revenue considerably. After making the switch, we‌ noticed a dramatic improvement in accuracy. Claims that were once returned for​ minor errors now went⁢ through the⁣ first time. Our cash flow improved, and we could reallocate resources to patient care.” This firsthand experience underscores the value of medical billing clearinghouses in transforming revenue cycles.

Conclusion: ​The Future of Medical Billing

As healthcare continues‍ to⁤ evolve, so too does​ the landscape of medical billing. Medical billing clearinghouses ⁢play a pivotal role in this ⁢conversion by streamlining revenue cycles‍ and enhancing operational efficiency. By choosing the right​ clearinghouse, healthcare providers can reduce claims ‌errors, increase revenue, and focus more on what truly matters: patient care. If your practice ⁣is struggling with the intricacies of medical billing, consider the benefits of partnering with a clearinghouse to ensure⁣ you maximize your efficiency and revenue potential.

https://medicalbillingcodingcourses.net/comprehending-medical-billing-clearinghouses-streamlining-your-revenue-cycle-for-maximum-efficiency/

[industrystudyreport]

U.S. Revenue Cycle Management Market: The Impact of Value-Based Care on Revenue Strategies

U.S. Revenue Cycle Management Industry Overview

The U.S. Revenue Cycle Management Market, valued at approximately $172.24 billion in 2024, is projected to grow at a CAGR of 10.1% from 2025 to 2030. The swiftly evolving healthcare landscape, marked by increasing digitalization, has created opportunities for the adoption of healthcare IT services, including revenue cycle management (RCM) systems. These systems aim to organize and streamline healthcare organization workflows through synchronized management software solutions. RCM solutions integrate payment models, reimbursement guidelines, codes, and interactions with third-party payers. The complexities inherent in billing and ensuring accurate payment for medical services are anticipated to drive the demand for innovative RCM solutions.

The practice of U.S. healthcare entities outsourcing RCM is gaining momentum due to its increasing advantages. The market is expected to experience substantial growth as a result of the intricate and labor-intensive nature of RCM processes, a shortage of qualified healthcare professionals, the necessity for cost-effective solutions, and the challenges presented by strict regulations, financial constraints, and staff shortages within the healthcare sector. Consequently, healthcare providers are increasingly choosing to outsource RCM tasks to specialized companies to optimize processes, decrease expenses, enhance accuracy, and prioritize patient care over administrative duties. This trend is likely to persist as providers seek efficient cash flow, cost reductions, and improved value-based care delivery.

Detailed Segmentation:

Component Insights

The software segment is anticipated to grow significantly during the forecast period, owing to a growing demand for digitalization and streamlining of operational workflows to improve patient care. The growing amount of unorganized data generated from multiple healthcare functionalities requires centralization and consolidation, which is anticipated to drive the software segment over the forecast period.

Product Insights

The integrated segment dominated the market in 2024 with a market share of over 71.84% and is anticipated to grow at the fastest rate during the forecast period. This is attributed to the constant technological advancements and rapid adoption of integrated RCM solutions by healthcare organizations. Furthermore, integrated solutions provide a synchronized and streamlined platform for financial activities with a standardized data collection and analysis process, which is expected to drive the market over the forecast period.

Delivery Mode Insights

The web-based segment dominated the market in 2024 with a market share of over 56.76%. Web-based solutions are being increasingly implemented since these solutions are to be installed off-site and do not require additional hardware or storage. Affordability and rapid deployment are some of the benefits offered by web-based solutions. athernaOne, e-Hospital Systems, Simplex HIMES, and Advanced HIMS are examples of web-based practice management solutions. The cloud-based segment is anticipated to grow at the fastest rate during the forecast period.

Specialty Insights

The cardiology segment held a significant share of 7.15% in 2024 and is expected to grow at the fastest rate during the forecast period. Cardiology treatments are expensive procedures requiring RCM services; these services help enhance the procedure's effectiveness & patient care and seamlessly manage medical billing. According to an Elsevier, Inc. paper in September 2023, approximately 6.7 million U.S. adults aged 20 years and above had heart failure, and the prevalence is projected to reach 8.5 million by 2030. The rising prevalence of cardiovascular diseases directly increases the workload burden on healthcare providers and healthcare payers, which is expected to drive the segment.

Sourcing Insights

The in-house segment dominated the market in 2024 and accounted for a revenue share of over 70.82%. The segment growth is attributed to associated benefits, such as complete control of coding operations, patient information confidentiality, and accessibility of in-house medical billers. One of the major challenges in-house RCM services face is the requirement of a large medical staff to handle the patient’s medical data. Healthcare providers need to employ trained billers and coders, which can result in backlogs if one of them is ineffective, jeopardizing the entire revenue cycle.

End-use Insights

The hospitals segment is expected to grow at the fastest rate during the forecast period. This is attributed to the growing presence of renowned and well-established hospitals in the U.S. and the rising number of patient care regulatory reforms & guidelines introduced by regulatory agencies. Hospitals are focusing on implementing innovative RCM solutions by collaborating with vendors to transform the reimbursement scenario, which is anticipated to boost segment growth. Moreover, the growing demand to optimize hospitals’ workflow to improve efficiency and productivity is expected to boost the adoption of integrated RCM systems in hospitals.

Function Insights

The claims management segment dominated the market in 2024 with a market share of over 52.78%. This is attributed to the swiftly expanding patient pool, the rising geriatric population, and the introduction of advantageous government programs related to medical insurance coverage. In addition, the adoption of risk- or value-based reimbursement models is boosting the implementation of enhanced supervision and revenue cycle prediction, particularly for high-risk & vulnerable patient groups.

Gather more insights about the market drivers, restraints, and growth of the U.S. Revenue Cycle Management Market

Key Companies & Market Share Insights

Some emerging companies in the market are Aidéo Technologies, Access Healthcare, TELCOR, CorroHealth, and others. Key players' strategies to strengthen their market presence include new product launches, partnerships & collaborations, mergers & acquisitions, and geographical expansion.

Key U.S. Revenue Cycle Management Companies:

athenahealth, Inc.

Cerner Corporation

eClinicalWorks

Epic Systems Corporation

McKesson Corporation

NXGN Management, LLC

Oncospark, Inc.

R1 RCM, Inc.

The SSI Group, Inc.

Veradigm LLC (Allscripts Healthcare LLC)

Order a free sample PDF of the Market Intelligence Study, published by Grand View Research.

Recent Developments

In January 2025, Access Healthcare received a strategic investment from New Mountain Capital, LLC. This investment is noteworthy because it originates from a reputable, growth-focused firm that manages around USD 55 billion in assets. The partnership intends to enhance Access Healthcare's capabilities and support its expansion into new markets.

In September 2024, CorroHealth, completed the acquisition of the Xtend healthcare revenue cycle management business from Navient. This strategic move is significant for several reasons, which will be explored in detail below. As part of this transaction, over 925 employees from Xtend have joined CorroHealth’s workforce. This addition not only expands CorroHealth’s team but also brings in valuable expertise that can enhance their operational capabilities.