How AI is changing payer contracting and revenue cycle work, and how to use it safely without losing your edge.
Why provider enrollment, credentialing, and directory accuracy are revenue and contract enforcement issues, not paperwork.
Treating payer denials as contract enforcement: who owns them, where they start, and how to recover what you're owed.
Building teams, developing talent, and growing your career in healthcare finance and managed care.
Getting real value from HFMA membership, certifications, and professional development for your whole team.
Podcast interviews and media appearances featuring Kevin W. Barron on managed care, payer relations, and revenue cycle strategy.
Policy and coverage changes in Medicare, Medicaid, and the ACA marketplace, and what they mean for your payer mix.
Negotiating, structuring, and managing payer contracts, from key clauses and rate strategy to implementation and JOCs.
Managing your contract book as a portfolio, spotting payer mix shifts early, and knowing when to walk away.
Prior authorization rules, medical necessity denials, and how utilization management and contracting can work together.
Connecting contracting to patient access, billing, and collections so negotiated terms show up in actual payments.
Risk arrangements, quality incentives, and payment models that reward outcomes instead of volume.
What Readers Say
“Managed care strategy and negotiations for hospitals and other provider groups has always been an apprentice model. This is great content that helps deepen your knowledge of this vital work, and highlights the new issues and approaches that the current dynamic environment requires. Kudos to Kevin for bringing this to life.”
Brandon Edwards
CEO (Retired), Unlock Health | Partner, Oxeon
"Kevin has a unique ability to take complex payer relations and managed care contracting issues and turn them into practical, relevant insights. ... That is what I value most about Kevin’s content: it isn’t just informative and educational; it gives healthcare leaders something they can actually use."
Valerie Daniel, MBA, CHFP, CRCR, CSPR
Director, Revenue Cycle - Baylor, Scott & White Health
"Payers get away with so many interferences that go unchecked, this gives us the ammunition to push back and hold them accountable instead of just absorbing the fallout."
Michelle McGinnis, BBA, MHA
Director, Managed Care - UT Health, San Antonio
In the Media
250,000+ article views · 9,000+ LinkedIn followers · 34 years in healthcare finance
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Free Resources: Managed Care Glossary (PDF) | People-Portfolio-Process Field Guide