Handouts

2026 Fall Conference
(Payor & Reimbursement Summit)

Networking Opportunities Sponsored by Corporate Sponsors

Top Golf Little Rock, AR

Welcome & Announcements -Misty Prater, HFMA President – Arkansas Lakes Ballroom

Topic: Panel Discussion –Payor Provider Divide

Program Content:

This panel brings together revenue cycle leaders to examine the persistent communication breakdowns with payors that drive claim denials, delayed reimbursements, and administrative burden across the revenue cycle. Panelists will share their firsthand experiences navigating misaligned incentives, inconsistent policy interpretation, fragmented data exchange, and unclear authorization requirements from the provider side of the table. The discussion will explore practical strategies providers can use to strengthen communication, advocate for greater transparency, and push for more collaborative problem-solving with payor partners. Attendees will leave with actionable insights on reducing friction, improving claim accuracy, and building a more efficient, patient-centered revenue cycle — even amid an imperfect dialogue with payors.

Topic: 2027 Hospital Advocacy Outlook

Program Content:

This presentation will cover the fallout of the announcement that the ARHOME waiver will not be extended past December 31, 2026, as well as an hospital advocacy outlook for the 96th General Assembly that is scheduled to begin in January 2027.

Topic: The ABCBS Credentialing Hub

Program Content: This session will explore the critical role provider credentialing plays in the broader revenue cycle, highlighting how accurate and timely credentialing directly impacts claims processing, reimbursement timelines, and overall financial health for healthcare organizations. Attendees will gain a clear understanding of why credentialing is not just an administrative formality, but a foundational step that determines whether providers can be paid for the care they deliver. The presentation will address common credentialing pitfalls that can lead to claim denials, payment delays, and compliance risks, and will offer practical strategies for avoiding these costly errors. Building on this foundation, the session will then transition into a hands-on walkthrough of the HUB, a new credentialing platform recently rolled out by Arkansas Blue Cross and Blue Shield.

Topic: Medicaid and Budget Bill Updates

Program Content:

This presentation will provide a summary overview of Medicaid over the next year including discussion on rules, policy, and spending. It will also review additional impacts from the passage of the federal budget bill known as the One Big Beautiful Bill Act.

Topic: CJR-X: What to Know and How to Prepare

Program Content:

CJR-X is a nationwide, mandatory bundled payment model that builds on the success of the original Comprehensive Care for Joint Replacement (CJR) program. The model would hold hospitals accountable for the cost and quality of hip, knee, and ankle replacement episodes—from the procedure through 90 days post-discharge—and would apply to both inpatient and outpatient settings. Beginning October 1, 2027, CJR-X is designed as a two-sided risk model and is expected to impact approximately 2,500 hospitals nationwide.

Topic: FFY 2026 IPPS & CY 2026 OPPS Rule & Other Healthcare Regulatory Updates & Hot Topics

Program Content: This presentation will identify, discuss and analyze changes in the IPPS and OPPS regulatory policy along with strategies and various other healthcare hot topics.