Aroris Health insights, articles, and analysis on payer contract management, reimbursement strategy, revenue cycle benchmarking, and medical practice operations. Written for practice owners, revenue cycle leaders, and physician executives.
Insights
Payer behavior, contract economics, the operating discipline behind a healthier practice, written by the people who run it.
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8 min read
Running a medical practice means juggling dozens of moving parts simultaneously. From patient scheduling and billing to credentialing and compliance, practice management encompasses everything that keeps your doors open and your providers focused on patient care. But here’s…
Understanding medical reimbursement and coding is not just about getting bills paid, but also about creating a data foundation that makes contract optimization possible is essential. For healthcare…
When was the last time someone in your practice spent 20 minutes searching through filing cabinets for a specific payer contract? Or worse – when did you realize…
Your claim was paid—but was it paid correctly? Most medical practices celebrate when claims come back paid instead of denied. But here’s the problem: a paid health insurance…
Financial sustainability in healthcare hinges on more than just providing excellent patient care. The revenue cycle in healthcare ensures organizations receive timely and accurate reimbursement for their services.…
Healthcare providers face an increasingly complex web of payer relationships, governed by unique contract terms, reimbursement rates, and compliance requirements. With more than 42% of doctors spending over…
Healthcare providers face financial pressures from all directions. Between rising operational costs, administrative burdens, and shifting reimbursement models, medical practices are constantly searching for ways to maintain financial…
In the healthcare industry, where margins continue to tighten and administrative burdens continue to increase, effective payer negotiations have become essential for providers. Many providers leave significant revenue…
In modern healthcare, how providers get paid significantly impacts care delivery, administrative processes, and patient experiences. Today, fee for service (FFS) stands as one of the most established…
Healthcare in the United States is at a critical turning point. For decades, the fee-for-service model has dominated how we pay for healthcare, but its limitations have become…
Healthcare providers today face increasing financial pressures while trying to deliver high-quality care. Traditional fee-for-service reimbursement systems have long dominated the healthcare payment system, but they often incentivize…
Managing payer contracts with spreadsheets puts healthcare providers at a significant disadvantage—like trying to navigate complex terrain with an outdated map. While reimbursement models evolve with mounting complexity…
Insurance companies have found creative ways to technically comply with Medical Loss Ratio (MLR) requirements while maximizing their profits—directly affecting your reimbursement rates and practice finances. For healthcare…
Healthcare providers across the country face a common challenge: Navigating the complex world of insurance reimbursement rates. These rates directly impact a medical practice’s financial viability, yet they…
Payers design contract terms for their bottom lines, not yours. Aroris levels the playing field. Our clients see an average 13.8% increase in reimbursement rates. Don’t leave revenue…
Picture this: a skilled surgeon has decades of experience in their specialist field and a long track record of making the crucial decisions that save lives. But they’re…
Discover how ASC leaders can harness data-driven strategies to negotiate favorable payer contracts and maximize profitability amidst rapid industry growth.
The fee for service model (FFS) dominates the industry today and is not expected to be replaced anytime soon by alternative models. The model, and the contracts that…
During a featured session at the Becker’s 30th Annual Meeting: The Business & Operations of ASCs, Brett Spark, President and Co-Founder of Aroris Health—a payer contract management firm—discussed…
In today’s ever-evolving healthcare landscape, providers increasingly feel the pressure of dwindling reimbursement rates and the complexities of numerous payer agreements. Negotiating higher rates often feels like navigating…
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