Friday, 10 Oct 2025
  • Contact
  • Privacy Policy
  • Terms & Conditions
  • DMCA
logo logo
  • World
  • Politics
  • Crime
  • Economy
  • Tech & Science
  • Sports
  • Entertainment
  • More
    • Education
    • Celebrities
    • Culture and Arts
    • Environment
    • Health and Wellness
    • Lifestyle
  • 🔥
  • Trump
  • VIDEO
  • House
  • White
  • ScienceAlert
  • Trumps
  • Watch
  • man
  • Health
  • Season
Font ResizerAa
American FocusAmerican Focus
Search
  • World
  • Politics
  • Crime
  • Economy
  • Tech & Science
  • Sports
  • Entertainment
  • More
    • Education
    • Celebrities
    • Culture and Arts
    • Environment
    • Health and Wellness
    • Lifestyle
Follow US
© 2024 americanfocus.online – All Rights Reserved.
American Focus > Blog > Health and Wellness > Potential Medicaid Cuts Demand Action, Here’s How CIOs Can Step Up
Health and Wellness

Potential Medicaid Cuts Demand Action, Here’s How CIOs Can Step Up

Last updated: July 2, 2025 9:10 am
Share
Potential Medicaid Cuts Demand Action, Here’s How CIOs Can Step Up
SHARE

The recent approval by the Senate of over $1 trillion in Medicaid cuts over the next decade has placed significant pressure on healthcare systems. Chief Information Officers (CIOs) cannot afford to remain passive in this challenging environment. With budgets for CMS and Medicaid at risk, IT leaders must step up and collaborate with Chief Financial Officers (CFOs) to optimize operations and maximize resources. It is crucial for CIOs to reevaluate the technology stack in both front-end and back-end revenue cycle processes to leverage innovative solutions that can have a tangible financial impact.

Front End Revenue Cycle

The accuracy of data collection at the front end of the revenue cycle process, particularly during pre-registration and patient registration, is essential for financial stability. Inaccurate or incomplete data can lead to claim denials and errors in patient eligibility. According to the Experian State of Claims report, 67% of the patient data gap is related to demographic information.

CIOs need to prioritize automating identity verification processes by leveraging third-party lookup databases or system integrations. This initial step helps reduce manual efforts and enhances operational efficiency. Strategic solutions must be deployed to ensure accurate patient identification and streamline financial workflows. Implementing strong identity verification at registration, automating eligibility checks and prior authorizations, and enabling secure digital payment options are crucial steps in strengthening the front-end revenue cycle.

Patients who lose Medicaid coverage may regain eligibility quickly due to changing life situations. Healthcare organizations must be agile in monitoring and reassessing eligibility in real-time to help patients secure coverage as soon as they qualify again. By focusing on data accuracy and automation from the beginning of the patient journey, CIOs can reduce claim denials, expedite collections, and improve the patient’s financial experience.

See also  How Trump broke the politics of Medicaid

Back End Revenue Cycle

The adoption of autonomous medical coding solutions has gained momentum as a way to expedite claim submissions and reduce accounts receivable (AR) days. CIOs are exploring the use of Agentic AI to streamline operations and drive greater efficiency. By implementing an AI agent to review each claim after medical coding, CIOs can ensure compliance with insurance payer requirements and automatically submit claims that meet criteria. In case of claim rejection, the AI agent identifies denial reasons, corrects issues, and analyzes root causes to prevent future errors. Through continuous learning, the Agentic AI improves the accuracy of claim submissions over time.

CIOs can revolutionize the healthcare revenue cycle by integrating Agentic AI into workflows that still rely on manual tasks. Building strong partnerships across internal teams and external vendors is crucial for success. Strategic application of automation and AI in the revenue cycle yields measurable returns on investment and drives lasting efficiencies.

In conclusion, CIOs play a vital role in navigating the challenges posed by Medicaid cuts and financial pressures in healthcare. By embracing innovative technologies and collaborating with key stakeholders, CIOs can optimize revenue cycle processes and ensure financial sustainability in the face of budget constraints.

TAGGED:actionCIOscutsdemandHeresMedicaidpotentialStep
Share This Article
Twitter Email Copy Link Print
Previous Article Angelina Jolie and Brad Pitt ‘Headed For Court’ Angelina Jolie and Brad Pitt ‘Headed For Court’
Next Article A guide to using Edits, Meta’s new CapCut rival for short-form video editing A guide to using Edits, Meta’s new CapCut rival for short-form video editing
Leave a comment

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Popular Posts

RFK Jr. orders 10,000 HHS job cuts in major health agency shakeup

The Health and Human Services Department (HHS) has announced plans to slash 10,000 jobs and…

March 27, 2025

Family of NYC mom, 36, shot dead in BBQ tiff dares ‘coward’ killer to step forward

The senseless killing of 36-year-old Brooklyn mom, Tamika Powell, has left her family and community…

June 26, 2025

Your Salad Could Be Carrying Microplastics From Soil Into Your Body : ScienceAlert

Plastic Pollution in Soils: A Growing Concern for Food Safety Plastic pollution is not just…

May 30, 2025

Researchers warn continuous glucose monitors can overestimate blood sugar levels

Continuous Glucose Monitors (CGMs) have seen a surge in popularity in recent years, but a…

March 1, 2025

US strikes on Iran add to global travel disruptions and flight cancellations

U.S. Entry into Israel-Iran War Causes Global Travel Disruptions By WYATTE GRANTHAM-PHILIPS NEW YORK (AP)…

June 24, 2025

You Might Also Like

RFK Jr. says circumcisions linked to autism — here’s the truth behind the shocking claim
World News

RFK Jr. says circumcisions linked to autism — here’s the truth behind the shocking claim

October 10, 2025
Nvidia’s Jensen Huang Says AI Demand Is Up ‘Substantially’ This Year, and Still Growing
Economy

Nvidia’s Jensen Huang Says AI Demand Is Up ‘Substantially’ This Year, and Still Growing

October 10, 2025
STAT+: HHS employees to be fired as White House enacts mass terminations it blames on shutdown
Health and Wellness

STAT+: HHS employees to be fired as White House enacts mass terminations it blames on shutdown

October 10, 2025
Joe Bastianich on New Food Show Format ‘Foodish,’ Launching at Mipcom: ‘It’s a Potential “MasterChef” Lite’
Entertainment

Joe Bastianich on New Food Show Format ‘Foodish,’ Launching at Mipcom: ‘It’s a Potential “MasterChef” Lite’

October 10, 2025
logo logo
Facebook Twitter Youtube

About US


Explore global affairs, political insights, and linguistic origins. Stay informed with our comprehensive coverage of world news, politics, and Lifestyle.

Top Categories
  • Crime
  • Environment
  • Sports
  • Tech and Science
Usefull Links
  • Contact
  • Privacy Policy
  • Terms & Conditions
  • DMCA

© 2024 americanfocus.online –  All Rights Reserved.

Welcome Back!

Sign in to your account

Lost your password?