Despite better cash flow, providers missed out on more revenue in 2025 due to increased payer denials

Summary: Hospitals got a mix of good and bad news in 2025. The good news? Insurance companies started paying simple medical bills a few days faster. The bad news? Hospitals still lost a massive $48.4 billion in revenue.

Why did they lose so much money? Insurers denied a lot more major claims, arguing that the treatments weren't "medically necessary." On top of that, patients were asked to pay a bigger share of their own bills, but many simply couldn't afford it. Now, hospitals are having to fight harder and spend more money just to get paid for the care they already provided.

Source: rssapp-fiercehealthcare-com URL: fiercehealthcare.com/finance/despite-better-cash-flow-providers-missed-out-more-revenue-2025-due-increased-payer-denials (opens in new tab)

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Insurance Carriers
Ambulatory Care
Prior Authorization