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PAYER INTELLIGENCE HUB

Intelligence organized by the problem on your desk.

Not a content library. Four executive problems, the assets that resolve each, and a route into a quantified review of your own exposure.

FLAGSHIP · AUGUST 2026CY2027 REIMBURSEMENT EXPOSURE

CMS-1850-P: The First Medicare Payment Category for Software as a Medical Service

46 HCPCS codes carry new status indicator O1 effective January 1, 2027. Ten services shift from CLFS to OPPS liability. If the revenue cycle is not remapped before then, the exposure lands as unreimbursed volume.

46 SaMS codes in Table 61/62New status indicator O110 CLFS-to-OPPS liability shiftsRole-based CFO / CMO / UM read

Physician-authored. Vendor-neutral. Cross-referenced against CMS-1850-P and CY2027 Addendum B.

PREVENT AVOIDABLE DENIALS

Which denial patterns are draining margin before anyone escalates them?

The recurring MA denial mechanics that clear internal audit but never reach the appeal queue — costing 7 figures annually at typical hospital scale.

  • Identify the 5 hidden MA denial patterns
  • Get payer arguments and your defense for each
  • Review the 90-day denial prevention action plan
5 denial patternsPayer argument / defense pairs90-day plan
Free · gated

Five Medicare Advantage Denial Patterns Quietly Costing Hospitals 7 Figures

The recurring MA denial mechanics that clear internal audit but never reach the appeal queue.

Free · gated

AI-Driven Denials Now Require Defensible Human-Review Documentation

The 5-element attestation payers must produce — and how to weaponize its absence in appeals.

QUANTIFY REIMBURSEMENT EXPOSURE

What is payer policy drift actually costing this organization in dollars?

Eight payment pathways funding AI in utilization management, ranked and risk-scored. $56.6M at risk on a 300-bed baseline.

  • All 8 pathways ranked with a 5-signal risk frame
  • 3 quantified financial scenarios
  • Board-ready one-page model
  • CFO action plan
8 payment pathways$56.6M at risk · 300-bed baselineBoard-ready model
$499 · 10-page PDF

CFO Intelligence: 8 Payment Pathways Funding AI in Utilization Management

All 8 pathways ranked, 5-signal risk frame each, 3 quantified scenarios — $56.6M at risk on a 300-bed baseline.

Free · gated

A CFO's One-Page Model for Quantifying Revenue at Risk From Payer Policy Drift

The arithmetic behind the exposure number, in a form a board will accept.

Free · gated

Beyond the 2.3% Increase — FY 2027 IPPS Executive Delta & Action Table

What changed from proposal to final rule in CMS-1849-F, and why the national payment headline is not a hospital forecast.

Request an assessment

FY 2027 IPPS Revenue & Mandatory Episode Exposure Assessment

Facility-specific payment-driver bridge, DSH and rural exposure, NTAP capture, and TEAM/CJR-X episode readiness.

PREPARE FOR POLICY CHANGES

What lands in CY2027 that the revenue cycle has not been remapped for?

CMS-1850-P creates the first Medicare payment category for Software as a Medical Service — with operational exposure starting before the January 2027 go-live.

  • 46-code crosswalk (current vs proposed)
  • Department impact map
  • Patient-liability shifts and denial-risk exposure
  • Vendor-contract audit checklist
46 SaMS codesNew status indicator O110 CLFS-to-OPPS shifts
Free · no email required

CMS-1850-P: The Four Verified Numbers

What the 723-page rule actually does to CY2027 hospital outpatient revenue — each figure verified against the Federal Register text.

$149 · role-based brief

CMS-1850-P: Role-Based Impact Brief — Software as a Medical Service

46 SaMS codes, new status indicator O1, 10 CLFS-to-OPPS liability shifts effective January 1, 2027.

Free · gated

UnitedHealth Q2 2026: What a $5.5B Profit Means for Hospital Revenue

“Higher provider coding intensity” named as a margin drag — and the four CFO responses it forces.

ASSESS AI/UM COMPLIANCE RISK

Where does algorithmic utilization review create legal exposure in our states?

CA SB 1120, IL HB 5395, OK SB 303 and the 2026 legislative wave — mapped to what each statute actually forbids and what your compliance program needs to prove.

  • State-by-state compliance cheat sheet
  • What each law actually requires
  • Documentation standards for AI-assisted UM decisions
  • Action plan for multi-state compliance
CA SB 1120IL HB 5395OK SB 3032026 legislative wave
Free · gated

The State-by-State AI-in-UM Cheat Sheet

CA SB 1120, IL HB 5395, OK SB 303 and the 2026 wave, mapped to what each statute actually forbids.

Free

PAULA Executive Risk Assessment

Role and facility context in under a minute, then a preliminary exposure profile before any email is requested.

FREE INTELLIGENCE vs. EXECUTIVE ACTION BRIEF

What's the difference?

Free intelligence

What you get now

  • Policy summary and what changed
  • Affected payers and service lines
  • Source citations
  • Recommended action summary

Executive action brief

Everything above, plus

  • Full revenue-at-risk quantification with 3 scenarios
  • Denial scenarios with payer arguments and your defense
  • Role-specific executive lenses (CFO, CMO, UM, Underwriter)
  • 90-day operational action plan with CLIP-ready templates
  • Downloadable executive PDF with citations

$149 – $899 · ONE-TIME

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Every PAULA briefing — newest first. Each ships with four critical questions answered and role-specific lenses available.

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CMS rules, payer behavior, prior authorization, and denial exposure — translated into role-specific action. No spam, and we will not disclose or sell your information to anyone.

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BEYOND THE BRIEF

A brief tells you what's coming. An assessment tells you what it means for your organization.

If your brief review surfaces a material exposure, the next step is a PAULA-facilitated organizational assessment — a structured diagnostic of your denial risk, payer policy exposure, and UM compliance posture with a prioritized action plan.

REQUEST AN ORGANIZATIONAL ASSESSMENT →