By Noah Breslow, CEO at Revecore In a recent piece, I explored the structural forces reshaping hospital finances: an aging population driving higher-acuity demand, a payer mix shifting toward government reimbursement, and rising uninsured volumes that translate...
News.
Keep up to date with the latest news from our team and the industry.
How Complex Claims Create a Hidden Drain on Revenue, Time, and Risk
Revenue cycle leaders are operating in a very different financial environment than they were just a few years ago. Margins remain tight, and operational expenses continue to rise. Labor costs are up, staffing challenges continue, and hospitals are under growing...
How Revecore Stays Ahead When Payers Keep Changing the Rules
By Angela Troccoli, Head of Marketing at Revecore If you read our recent analysis of Aetna's Level of Severity (LLS) inpatient payment policy, you know what's at stake. For one-to-four midnight stays, Aetna is now repricing approved inpatient admissions outside your...
Why Patient Access Is the Foundation of a Healthy Revenue Cycle
By Brian Niederhauser, Chief Operations Officer at Revecore Every dollar a hospital earns begins with a single interaction — a phone call, a registration desk, an eligibility check. Long before a clinician documents a diagnosis or a biller submits a claim, a patient...
The Cost Curve Is Resetting and Complexity Is Rising with It
By Noah Breslow, CEO at Revecore Over the past few years, hospitals have been navigating a fragile recovery. Volumes stabilized. Labor pressures began to normalize. Margins, while still thin, showed signs of improvement in many markets. But beneath the surface,...
HIMSS 2026: Reflections from the Floor
By Carter Childs, Head of Strategic Partnerships at Revecore Walking into HIMSS this year, I wasn’t quite sure what to expect. The last few years have felt a little flat. But HIMSS 2026 was different — the halls were fuller, the conversations charged, and there...
Why ROI Is Now the Only RCM Metric That Matters
By Justin Fugazy, Head of Client Engagement at Revecore Healthcare CFOs are facing a brutal financial paradox. Hospital operating margins recovered to 4.9% in 2024 yet health systems are barely holding at 1.5%, with 40% of hospitals still operating in the red. These...
Admission Approved, Acuity Contested: How Aetna’s LLS Policy Is Quietly Reshaping Hospital Reimbursement
By Missy Harbert-Miskell, MBA, Solution Advisor at Revecore Aetna is approving the admission. Then it's repricing it — outside your contract, outside the standard appeals process, and outside CMS oversight. And the claim will still show as paid. That is the...
Why Customers Consistently Grade Revecore an ‘A’ in Complex Claims
Six years. One consistent message from customers. As Revecore secures its record sixth consecutive Best in KLAS rating for Complex Claims Management, customer feedback continues to point to the same differentiators—clarifying why Revecore is trusted to manage claims...









