Why Patient Financing Has No Simple Solutions with Kimberly Scaccia | Podcast Shorts from ArceeHQ

In this clip

Kimberly Scaccia describes why patient financing is one of the most challenging areas on the revenue cycle road map. Recourse programs are spreading across the industry, but TriHealth recently exited one because of the patient dissatisfaction and operational complexity it created. Without recourse as an option, leaders are left balancing external early-out vendors, traditional collections, and internal staffing, while navigating evolving regulatory guidance on consumer financial protections in healthcare debt.

Key Takeaway

When recourse programs are not an option, patient financing strategy must shift to upfront education: helping insured patients understand that their out-of-pocket obligation is determined by their payer, not the health system.

“Recourse programs are becoming more common across the industry, but in my experience at my last organization and especially here, they often come with a significant cost to patient trust and satisfaction.”
Kimberly Scaccia, Vice President of Revenue Cycle, TriHealth

Patient FinancingLeadership

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Kimberly Scaccia

Season 2 · Episode 4 · 38 min

From Reactive Denials to Proactive Revenue Protection: AI Prioritization and Leadership in Revenue Cycle

Kimberly Scaccia · Vice President of Revenue Cycle, TriHealth

Kim Scaccia shares how she sets strategic priorities at TriHealth under simultaneous pressures from payer delays, regulatory mandates, and staffing constraints, and why sequencing and explicit exclusions matter as much as what gets prioritized. The conversation covers an autonomous and computer-assisted coding initiative she led at Mercyhealth, the importance of phased implementation and psychological safety in surfacing obstacles, and the measurable results: a 5 percent net cash improvement and a 6 to 7 percent increase in HCC capture rates. Kim also discusses the shift from reactive denial management to upstream prevention through agentic AI, the change management framework she uses to build momentum across complex cross-functional teams, and why write-off percentage, not denial rate, is the metric that truly reflects revenue cycle performance.

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