Patti Nemeth, RN, BSN, CCS, CCDS
Patti Nemeth is a Senior Vice President with Kaufman Hall’s Revenue & Operations Improvement (ROI) practice. She brings 30 years of nursing experience in emergency services and critical...
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Lalie Sedlack, MBA, BSN, RN, CCDS, CCS
Lalie Sedlack serves as a Senior Vice President within Kaufman Hall’s Revenue & Operations Improvement for Claro CDI/consulting, bringing over 25 years of healthcare experience with a specialized focus in Clinical Documentation Integrity (CDI).
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Brittany Loftus
Brittany Loftus is a Senior Vice President at Kaufman Hall and a key member of the Revenue & Operations Improvement (ROI) practice.
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Get paid what you’re owed: Smarter contracting, internal alignment can reduce denials
Many payer agreements lack provisions that would give hospitals greater visibility, predictability and recourse in the face of denial risk.
Article
Martin Kelley
Martin Kelley is an Assistant Vice President in Kaufman Hall's Revenue & Operations Improvement practice.
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Jim Sabolik
Jim is a Vice President in Kaufman Hall’s Revenue & Operations Improvement (ROI) practice.
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Julie Bell, BSN, RN, CCDS, CCS, CRC, CCS-P
Ms. Bell is a Senior Vice President and member of the Revenue & Operations Improvement practice.
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Summer 2025 Kaufman Hall Report: Utilization management, rural/academic partnerships, and physician employment alternatives
The latest Kaufman Hall Report includes a short case study on Geisinger’s utilization management transformation as well as a short interview with Columbia Memorial's CEO on a rural...
Research Report
Gist Weekly: May 30, 2025
Trump administration continues transparency push, Hinge Health’s splash IPO, CMS looks for Medicare Advantage fraud.
Brief
Modernizing utilization management: A case for system-level change
For many health systems, utilization management (UM) has long been a functional necessity, but rarely a strategic priority. Originally designed to ensure clinical appropriateness and support payer requirements, UM often grew up within hospital walls, shaped by local workflows and embedded within broader care management structures.
Article
The CFO path: From reactive to transformative
In today’s volatile healthcare landscape, CFOs are being called to step beyond traditional financial management and embrace a transformative leadership role.
Article
Creating a sustainable approach to corporate shared services
Changes in operations and services, coupled with the need to invest more in patient-facing services, require health systems to assess corporate shared services to maximize efficiency and cost-effectiveness.
Article