Becker’s Healthcare Podcast Stephen Rinaldi, SVP and Chief Revenue Officer of UNC Health
Dec 23, 2025
Stephen Rinaldi, the Senior Vice President and Chief Revenue Officer of UNC Health, shares his insights on the evolving landscape of healthcare finance. He delves into the challenges posed by payer pressure and the uncertainties surrounding Medicaid and ACA. Rinaldi discusses the exciting integration of AI in revenue cycles and clinical operations, emphasizing its potential to enhance efficiency. He also highlights the ambitious plans for a $3 billion children's hospital and initiatives to expand care access across North Carolina, underscoring the importance of community health.
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Three Forces Shaping Strategy
- Payer pressure, workforce shortages, and rapid AI adoption are UNC Health's top strategic concerns.
- Stephen Rinaldi sees these trends shaping finance, operations, and tech priorities across the system.
Protect Medicaid Revenue Proactively
- Partner with the state and build workflows to ensure Medicaid beneficiaries complete revalidation.
- Use financial navigators and technology during scheduling to prevent coverage loss and protect reimbursement.
ACA Changes Raise Underinsurance Risk
- ACA subsidy reductions risk more people becoming uninsured and existing enrollees becoming effectively underinsured.
- That dynamic will increase uncompensated care and pressure patients' ability to meet cost-sharing obligations.