UNC Health's Chief Revenue Officer Stephen Rinaldi discusses key challenges and strategies in healthcare revenue cycle management. Rinaldi emphasizes a forward-looking, strategic financial approach, contrasting it with a rear-view, KPI-focused perspective. He identifies Medicare and Medicaid policy changes, labor shortages, increased payer administrative burdens, and the pace of technological adoption as significant headwinds. Rinaldi stresses the importance of hiring successful leaders who have learned from failures and being nimble in securing talent. He also addresses the potential impact of the One Big Beautiful Bill (OB3), advocating for a focus on top-line revenue integrity and cost control. A key accomplishment for UNC Health has been the transition to a front-middle-back revenue cycle operations model.
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