Waystar study finds 42% of hospitals face at least $1 million in annual payer recoupment requests
WAY•A Waystar and Modern Healthcare study found that 42% of hospitals and health systems face at least $1 million in annual payer recoupment requests, while 10% face $25 million or more.
1. Recoupment exposure
The study found that 42% of hospitals and health systems face annual payer recoupment requests of at least $1 million, including 10% facing $25 million or more. It also found that 83% of healthcare organizations lack full visibility into recoupment root causes, and 90% lack full visibility into whether recoupments were preventable.
2. Financial planning
Post-payment adjustments affect cash flow forecasting at 74% of healthcare organizations. While 33% of respondents use AI or automation, another 43% are evaluating solutions to improve recoupment management.
