Healthcare practices are facing growing pressure as medical billing and revenue cycle management become harder to sustain internally. Rising claim denials, tighter payer requirements, authorization delays, and staffing constraints are disrupting cash flow across specialties. This article examines why getting paid has become more difficult heading into 2026 and how practice leaders can gain clarity on what revenue is still recoverable before it expires.
When UNC Health and Cigna failed to reach a contract agreement, 60,000+ North Carolina patients were left scrambling. But the deeper lesson isn’t just about one health system — it’s about how downcoding, administrative overload, and payer tactics are threatening revenue and continuity of care nationwide. This post breaks down the real risks, early warning signs, and how providers can proactively protect their revenue and patients before their own contracts are at risk.
Minority-owned healthcare practices face unique RCM barriers that affect cash flow, denials, and compliance. From limited billing technology to payer bias, these challenges cut deep, but they’re fixable. Learn how to strengthen your systems and protect your revenue stability.
When Cigna Healthcare's R49 policy made headlines in October 2025, many assumed it was an isolated case. Cigna Healthcare then paused the policy due to regulatory pressure. The relief was short-lived. The trend didn't stop; it had already spread to nearly every major insurer in the country.
Oct 16, 20256 min read
In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.
⚠️ Is Your Practice at Risk?
Book a complimentary 15-minute contract risk call this week.
I'll help you identify:
✓ Hidden revenue leaks in your payer contracts
✓ Downcoding exposure you might not see
✓ Early warning signs of contract breakdown
