Waystar and Modern Healthcare Research Highlights Financial Risks of Payer Recoupments
A new study conducted by Waystar (Nasdaq: WAY) and Modern Healthcare reveals that payer recoupments are growing twice as fast as overall claim volumes, creating significant financial instability for healthcare providers. The research shows that 42% of hospitals and health systems face at least $1 million in annual recoupment requests, with 10% facing losses exceeding $25 million annually. The findings highlight a critical lack of visibility within the revenue cycle, as 90% of organizations cannot determine if these recoupments were preventable. Major drivers include eligibility issues and coordination-of-benefits errors. In response to these challenges, there is an increasing industry shift toward AI-powered automation to identify risks earlier in the payment lifecycle and improve cash flow forecasting.
Tickers: $WAY
Topics: AI Automation in Healthcare Financial Risk Management Healthcare Revenue Cycle Management Payer Recoupments