The uncertainties with healthcare reform are continuing. Unrelated to the ACA, certain government mandates continue to add substantial levels of complexity to provider medical records, billing and revenue collection processes. As a result the timely funding of operating expenses becomes increasingly problematic.
The increased participation by patients in the cost of their care is yet another factor. The redistribution of revenue from third-party reimbursement to patient accounts receivable will likely result in an increase to aging and bad debt write-offs.