The need for healthcare services hasn’t diminished, but providers are struggling to meet the demands and regulations inflicted by recent policy and legislature. Medicare reimbursements are lower, there are new federal regulations that result in bundled payments and there’s a threat to take away the employer health exemption. In addition, with the election of a Republican President and full control of the House and Senate by the GOP, radical changes are certain in American healthcare. Providers are looking at near impossible pressures to keep margins positive while producing the same high-quality patient care.
In order for providers to meet the gap, healthcare networks are turning to mergers and acquisition (M&A) agreements – hospital M&A activities jumped 70% within the last five years. For smaller providers, M&As equate to access to resources like higher levels of technical capabilities for both patient care and corporate processes, like revenue recovery. This is a critical area for most providers and networks as, in most cases, a manual process just won’t cut it any longer. Here, Shawn Yates talks with Healthcare Business & Technology about how sophisticated health systems are meeting the challenge.