Dispatch

Insights for revenue cycle leaders

RCM trends, denial analysis, and operational strategy from the Exactrx team.

InsightApril 15, 2026
Medicare Advantage 2027 Payment Rates Hide a $13 Billion Shift That Will Reshape Provider Contracts

The 2.48% rate bump masks fundamental changes to risk scoring that could upend how MA plans negotiate with providers.

ArticleApril 14, 2026
The CFO's Guide to Healthcare Innovation ROI: 10 Risk-Reduction Strategies That Actually Work

Ten risk-reduction strategies finance leaders can use to evaluate healthcare innovation investments and protect margins.

GuideApril 13, 2026
Healthcare Billing System Integration in 2026: HL7, API, FHIR, and the EMR-Native Alternative

Which integration method fits your billing workflow? A practical guide to HL7, APIs, FHIR, and direct EMR connections.

ArticleApril 13, 2026
340B Program Disruption: How Drugmaker Lawsuits Could Reshape ASC Pharmacy Revenue

Pharmaceutical lawsuits challenging 340B patient definitions could eliminate millions in ASC drug savings overnight.

InsightApril 13, 2026
Price Transparency ROI: How Compliance Data Drives Strategic Revenue Growth

Smart CFOs are turning mandatory price disclosure into competitive intelligence for revenue optimization and market positioning.

InsightApril 12, 2026
Medicare Advantage 2027 Payment Rates: Why a 2.48% Increase Actually Delivers 4.98% More Revenue to Plans

The 2.48% Medicare Advantage rate bump translates to 4.98% more plan revenue, reshaping your negotiating position for 2027 contracts.

ArticleApril 10, 2026
Prior-authorization requirement changes and what this means for procedural and surgical specialties

CMS is expanding prior authorization in 2026. See how new rules impact surgical and procedural practices and how to protect revenue.

GuideJanuary 19, 2026
CMS ASC Prior Authorization Demonstration: What Tennessee Providers Need to Know

Most Tennessee ASCs aren’t ready for CMS’s new prior auth demo. Here’s what’s in scope, how it works, and the workflows you need now.

ArticleNovember 18, 2025
What the $100M Horizon Settlement Reveals About the State of Claims Administration

Horizon Blue Cross Blue Shield of New Jersey paid $100M to settle claims it failed to follow the state's 'lesser of' payment rule.

ArticleSeptember 18, 2025
ASC Cost Insights 2025: What We Heard in New Jersey

ASC leaders in New Jersey say cost drives every decision. Technology needs clear ROI, and hospital consolidation is accelerating.