Revenue Cycle Management Is Going to Be Critical – Regardless of Whether We Have TrumpCare or Obamacare

Under pressure to repeal and replace the Affordable Care Act (ACA), aka ObamaCare, Republicans in the House recently passed a new plan titled the American Health Care Act (AHCA), which is being called Trumpcare. The new bill aligns with older conservative views from past healthcare reform debates, but still contains elements of the old ACA. Initially, the total cost of this new healthcare proposals is estimated at nearly half a trillion dollars more than Obamacare over a decade, while doubling the number of people without health insurance.

There are 75 million people on Medicaid today; it’s the second largest source of insurance coverage. Employee coverage is first. The new bill will have major changes in the way Medicaid is funded. First, the federal support of expanded Medicaid to 133 percent of the federal poverty line will be rolled back. States that currently offer Medicaid to people below 138 percent of the poverty level will no longer receive extra funds for new expansion candidates after 2020, which will curtail coverage for many.

The lesson to be gained from all of this is: healthcare providers must now — more than ever — be prepared to closely monitor their revenue cycles. Regardless of whether ObamaCare stays or TrumpCare prevails, revenue cycle management is going to become the most critical activity in healthcare, right after providing patient care.

If you are not prepared for the impact of ObamaCare or TrumpCare, you had better begin today. This is precisely the time to engage with a partner who brings a deep understanding of revenue cycle management to the table. GeBBS Healthcare Solutions provides end-to-end, comprehensive revenue cycle management solutions from payor credentialing to complete billing and collections services. With 10+ years of RCM experience with expertise in multi-specialty collections and billing, GeBBS is able to deliver an all-inclusive RCM solution.

Our billing experts are well versed in all Medicaid state plans, managed care plans, government-funded programs, third-party insurance, and Medicare billing rules. We follow industry-standard key performance metrics to measure success and integrate best practices, so that you get the value of our proven experience and expertise.

GeBBS Healthcare Solutions provides tailored revenue cycle management solutions that cut through the complexity with expertise, operational excellence, and a sophisticated approach. We deliver solutions specific to each client’s needs, in working with a client’s host system using its tools.  We build efficient workflow processes with higher output through the use of hybrid automated and manual solutions.

GeBBS provides a comprehensive range of revenue cycle management solutions, serving thousands of hospitals and healthcare organizations nationwide. Our diverse portfolio of solutions includes:

  • Extended Business Office
  • Denial Management
  • Accounts Receivable (A/R) Management
  • Credit Balance Resolution

With the economic challenges coming from either ObamaCare or TrumpCare, healthcare providers are going to need accurate claims processing and timely payment receipts in order to maintain reliable revenue streams.  Quality revenue cycle management and insurance billing solutions are going to be critical drivers to the financial success of healthcare organizations, no matter which government insurance plan prevails.