As healthcare margins tighten and cost-cutting takes center stage, professionally run healthcare organizations seek efficiency gains in their financial operations. Large cost-saving opportunities lie in the revenue cycle and vendor management. Financial officers must learn to work smarter with a range of vendors, contractors, and outsourcers; with payers; and with self-pay patients through revenue cycle and payment channels. From high-deductible health plans that cause bad debt problems to Recovery Audit Contractors to coding changes to medical necessity judgment, providers have to be sophisticated in order to get paid. Yet still-emerging models of payment offer the promise of improved finances and a better patient experience. HealthLeaders Media recently joined with five executives for an in-depth, three-hour conversation on tightening budgets, the difficulty of collecting at point of service, and readiness for the crucial shift to value-based reimbursement.