Insight
Revitalizing Patient Financial Engagement in 2025
Anyone with a recent experience in our healthcare system can appreciate the role that financial experiences play in the healthcare ecosystem at large. Even when everything goes smoothly, medical issues are often stressful for patients and their families. Throughout a patient’s journey, positive touchpoints with revenue cycle staff and systems can transform an experience filled with stress and uncertainty into one of genuine support.
From streamlined registration and check-in to efficient, informative access to estimates and billing information, to smooth, efficient claims processing, financial experiences are foundational to a patient’s overall impression of a healthcare organization.
When the instruments of the revenue cycle are harmonized, healthcare organizations can create positive patient experiences that support patients and families, improve access to care, and drive loyalty.
We’re excited to dig in with our clients to address these challenges as partners in 2025. Looking to the year ahead, we can expect to see a continuation of the major trends impacting healthcare organizations over the past year:
- A continued drive for technological and operational optimizations to simplify patient financial interactions.
- An increasing need for out-of-network support projects, as more contract negotiations go down to the wire and more payers are poised to go out of network. These projects will help ensure patients know what is at stake ahead of time if their coverage is slated to go out of network, and place HCOs in a stronger position vis-à-vis payers when deliberating at the bargaining table.
- A further sifting and winnowing of AI vendors as the flow of funds toward AI initiatives is deployed more judiciously.
- Continued efforts to align EHR and ERP systems as more system transitions take place.
- A continuation of the provider struggle to grapple with aging patient populations, new and emerging healthcare regulations, and the need to modernize technology platforms.
We can be sure that 2025 will bring changes, challenges, and opportunities in the ever-evolving world of healthcare. In all scenarios—from one person undergoing a routine procedure to an entire organization undergoing transformative change—effective preparation is the key to resilience. At Tegria, we look forward to partnering with organizations to improve end-to-end revenue cycle health for the sake of their stakeholders and those they serve.