Tendo

Health systems have spent decades optimizing for Medicare, Medicaid, and commercial contracts. The patient balance is now big enough to matter just as much - and it behaves nothing like the payers your revenue cycle was built for. Every health system fina

Direct-to-employer (D2E) contracting has moved from experiment to imperative. Self-insured employers are actively steering employees toward Centers of Excellence and bundled-price specialty care, and the health systems that show up in those networks are t

Most health system executives think of point-of-sale (POS) collection as a billing office fix - a way to shave a little off bad debt. The national numbers say otherwise. POS collections climbed from 22.74% of total patient payments in Q1 2025 to 24.82% in

A hidden opportunity inside your CDI program CDI programs are good at what they were built to do: make sure documentation reflects patient acuity accurately to support billing and reimbursement. That work is valuable, it's demanding, and most programs do

Every year, it happens the same way. Rankings publish. Someone refreshes the page. A Slack message goes out, and then the calls start. From the CEO. From the board chair. From the CMO. Why did our Star rating drop? Why is U.S. News showing this? Why are w