ACA marketplace premiums rose materially in 2026, pushing more patients toward high-deductible plans and self-pay. Here is what the shift means for practice operations.
October 13, 2026
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ACA marketplace premiums rose materially in 2026, pushing more patients toward high-deductible plans and self-pay. Here is what the shift means for practice operations.
63% of RCM leaders now consider AI explainability mandatory. Here is what explainable AI actually means operationally, and what to demand from any AI-driven tool in your revenue cycle.
Embedding clearinghouse functionality under your brand keeps the customer experience integrated but adds partnership complexity. Here is when white-label works and when it does not.
A vendor demo shows you the product. A cell phone test shows you the relationship. Here is how to evaluate a clearinghouse’s actual support model before you commit.
New research on RCM vendor consolidation found partnership quality, not features, predicts whether the vendor choice pays off. Same software, different results. Here is what actually matters.
HSC has operated as a dedicated clearinghouse for 28+ years with 4,500+ payer connections, each built over decades of production work. That experience is exactly what makes integration with standalone PM and EHR systems smoother, not harder.
Practices hitting a 90% affirmation rate on covered services can earn exemption from Medicare prior authorization entirely under WISeR. Here is what that requires, and how to build for it.
OBBBA work requirements and biannual redeterminations start creating measurable coverage disruption in Q4 2026. Here is how to prepare your eligibility workflow before the disruption hits.
Medicare Advantage denial rates have reached 17%, more than double traditional Medicare. Here is what is driving the gap, and what practices with MA volume need to do about it.
RCM teams spend 51 to 75 hours a week working denials. The dollars are one measurement. The staff capacity you never get back is another. Here is the full labor math.