New Waystar and Modern Healthcare Research Reveals Significant Gaps in Providers' Ability to Prevent Payer Recoupments
PR Newswire•22/10/2026•09:00 ET
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Key Highlights
- ➤Recoupments are growing twice as fast as overall claim volume
- ➤42% of hospitals and health systems face at least $1 million annual recoupment requests
- ➤83% of healthcare organizations lack full visibility into recoupment root causes
- ➤74% report post-payment adjustments affect cash flow forecasting
- ➤43% are actively evaluating AI or automation solutions
Expert Statements
Matt Hawkins, Chief Executive Officer of Waystar
“Healthcare providers have made progress in automating how they get paid, but protecting that revenue after payment remains a critical challenge. These findings highlight why the next evolution of revenue cycle management must connect intelligence across the entire payment lifecycle. With AI-powered automation, providers can stop reacting to recoupments and start identifying risk earlier, reducing manual work and preventing avoidable financial losses.”
New Waystar and Modern Healthcare Research Reveals Significant Gaps in Providers' Ability to Prevent Payer Recoupments PR Newswire
Study finds 42% of hospitals and health systems face at least $1 million in annual recoupment requests, as new research highlights growing demand for AI-powered automation
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