Behind the Balance Sheet: How MaineHealth is Rethinking Revenue Cycle & Payer Strategy

Working Together with Kelly Elkins, Episode 85

In this episode, MaineHealth Chief Operating Officer Kelly Elkins explores how the organization is rethinking revenue cycle and payer strategy to better support access, affordability, and long‑term sustainability. As denial rates rise, payment models shift, and administrative complexity increases, the conversation focuses on why revenue cycle can no longer be viewed as transactional—but instead as a strategic lever tied directly to quality, equity, and patient experience. The episode examines how aligning incentives, simplifying processes, and using data more proactively are helping MaineHealth balance financial stewardship with its mission to deliver high‑value care.

Guest Kelly Champney Senior Vice President of Revenue Cycle and Payer Strategy for MaineHealth shares how this evolution is taking shape across the system, including managing risk‑based arrangements, strengthening payer partnerships, and reducing friction for patients and care teams. Together, they discuss what has changed, what remains challenging, and how a more integrated, forward‑looking approach to revenue cycle positions MaineHealth to sustain care delivery while advancing affordability, access, and outcomes for the communities it serves.