Zachary Schultz, Senior Director of Product Policy and Solutions at EnableComp, recently authored a thought-provoking article published in MedCity News examining a critical but often misunderstood issue in healthcare revenue cycle management: not all military payers operate the same way, and assuming they do creates real financial and operational risk for providers.
In the article, Zach explains how military payer complexity has intensified as more veterans seek care in community settings. He breaks down the differences among VA Community Care, Community Care Network plans, TRICARE, legacy Fee Basis programs, and emergency coverage pathways, showing how each follows distinct rules for authorization, billing, and reimbursement. When health systems treat these payers as interchangeable, the result is delayed payments, avoidable denials, and administrative strain that ultimately impacts access to care.
Zach also connects these challenges to broader industry pressures, including VA staffing shortages and expanded eligibility under recent legislation. Drawing on both professional expertise and personal perspective, he underscores why accurate payer identification and specialized workflows are now essential for protecting revenue and ensuring veterans receive timely care.
Read the full article on MedCityNews.Com
