Healthcare reimbursement continues to evolve at an unprecedented pace, and the changes coming in 2027 will have significant implications for hospitals, case management, utilization review, and physician advisor programs. Continued reductions to the Inpatient Only List, expanding bundled payment initiatives, changing payment methodologies, evolving payer policies, and shifting patient financial responsibilities all increase the complexity of determining the appropriate level of care while protecting reimbursement and maintaining compliance. Organizations that wait until these changes take effect risk operational disruption, inconsistent decision-making, increased denials, unnecessary appeals, and missed opportunities to prepare staff before the new rules become reality.

In this practical, forward-looking webcast, nationally recognized physician advisor Dr. Ronald Hirsch will break down both the finalized and proposed 2027 CMS changes and explain what they mean in everyday practice. Rather than simply reviewing regulations, he'll translate complex policy updates into practical guidance your team can immediately begin planning around. You'll gain a clearer understanding of how payment changes, bundled payment expansion, inpatient and outpatient policy updates, and evolving payer expectations may impact utilization review workflows, case management strategies, physician documentation, patient status decisions, and organizational financial performance. You'll leave with greater confidence to prepare your team, strengthen compliance efforts, reduce uncertainty, and proactively position your organization for success in 2027.

Why This is Relevant:

The time to prepare is now—not after the rules become effective. Hospitals that begin evaluating workflows, educating staff, and understanding the direction CMS is taking will be far better positioned to adapt smoothly and minimize disruption. This webcast provides an opportunity to understand what lies ahead, identify areas requiring attention, and begin developing strategies that support compliance, operational efficiency, and financial stability before implementation deadlines arrive.

Learning Objectives:

• Understand the finalized and proposed CMS policy changes affecting inpatient and outpatient care for 2027.
• Review the continued changes to the Inpatient Only List and what they mean for patient status decisions.
• Examine the expansion of bundled payment initiatives and how they may affect hospital operations and reimbursement.
• Understand 2027 payment rate updates and the financial impact on hospitals.
• Learn how changes to bundling rules may influence utilization review and case management workflows.
• Review patient financial obligation updates and what they may mean for patients and providers.
• Identify operational risks associated with delaying preparation until implementation.
• Discover practical strategies to help your organization prepare workflows, staff, and processes before the 2027 changes take effect.
• Gain insights into how evolving payer policies may affect compliance, reimbursement, and medical necessity decision-making.
• Prepare your organization to respond proactively to regulatory changes with greater confidence.

Who Should Attend:

Those who will benefit most from this webcast include those in utilization review, revenue cycle, revenue integrity, case management and compliance, as well as chief financial officers, physicians and physician advisors, and billing and coding professionals.