The Payer Mix Shift: Navigating a Changing Reimbursement Landscape
Legislative, regulatory and market changes are reshaping payer mix across the HME industry, creating new reimbursement challenges and financial pressure for providers. As coverage patterns shift, many organizations are seeing greater involvement from third-party administrators, more movement between commercial, ACA, Medicaid and self-pay categories and added uncertainty tied to recent federal budget changes. This session will explore how payer mix disruption is affecting HME revenue cycle performance and provide practical strategies for identifying financial risk, adapting operations and protecting cash flow in a more fragmented reimbursement environment. Attendees will leave with a framework for proactively responding to payer mix changes before they negatively impact business performance.
