What Is AI Getting Right — and Wrong — in Healthcare’s Revenue Cycle?
AI hasn't solved all the problems plaguing healthcare's revenue cycle — but R1's Lee Kupferman says that it is getting closer, one gray area at a time.
The 72-Hour Hurdle: Faster Prior Authorization is Exposing Healthcare’s Broken Billing Cycle
The healthcare ecosystem is fixing how quickly decisions get made, without fixing how quickly money actually moves. This isn’t a failure of reform. It’s evidence that reform is working — and revealing where modernization needs to continue.
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The Healthcare Payments Industry Faces a Perception Challenge
Healthcare payments are no longer about transactions. It’s about controlling the revenue cycle. And increasingly, that control is not sitting with ISOs.
Financial Assistance Reform Is Reshaping Revenue Cycle Strategy
Financial assistance is moving from discretionary policy to regulated infrastructure. For health systems, that shift has significant operational and financial implications.
Stop Waiting to Be Asked: What Operators Really Need From Their Revenue Cycle Partners
When revenue cycle partners wait to be asked, or rely on “tell us what you need” as a default, they miss critical opportunities to deliver meaningful performance, support their client organizations, and ultimately serve patients better. In today’s healthcare environment, partnership requires anticipation, not reaction.
Adonis Scores $40M for AI Platform Aiming to Boost Hospital Revenue
Adonis raised a $40 million Series C funding round to help hospitals use AI to tackle denied and underpaid claims. Its platform automates manual revenue cycle tasks and provides real-time insights, which allows staff to focus on higher-value work. Customers include Mount Sinai Health System, Baptist Health South Florida, AdventHealth and ApolloMD.
The Revenue Cycle Needs Surgery, Not Band-Aids
As we see companies release more solutions targeting the revenue cycle, it’s time to distinguish excitement from impact.
Where Will AI Deployment Benefit Payers the Most?
We are taking a look at how health insurers are using AI, defining success, and managing cybersecurity risks. Give us your opinions by completing our brief, anonymous survey.
Data-Driven Decisions: Unlocking Strategic Financial Performance in Healthcare
Data is not optional; it is essential to financial stability and strategic growth. The organizations that thrive will be those that use data to lead, not follow.
Why Hospitals Must Rethink Operations Before Banking on AI
Some hospitals are turning to AI to help manage declining revenue and financial pressure, but one expert says success depends on more than just buying new tech. Prashant Karamchandani of Chartis urges health systems to pair AI adoption with foundational work like change management, continuous improvement and operating model redesign.
Revenue Cycle Automation: 3 Considerations For Optimal ROI
As healthcare leaders look for the low-hanging fruit for AI and automation investments in the revenue cycle, there are three things that should be considered to achieve maximum impact on labor effectiveness.
Want to Maximize Rev Cycle Efficiencies? Here are 3 Considerations
Whether trying to see more patients, retain more staff, expand the organization’s technology stack or bring more dollars in the door, it’s not uncommon for professionals to want to maximize their resources amidst a market influx.
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Closing the Quality-Affordability Gap in Workplace Mental Health
In an interview, Kyan Health Co-Founder and Chief Commercial Officer Konstantin Struck discussed how Kyan gives mid-market and enterprise employers access to premium workforce mental healthcare, at a price point that is affordable.
Unlocking Hidden Revenue: Transforming RCM Challenges into Financial Wins
As our industry continues its path toward value-based care, evolving payer models, and increasingly stringent regulations, revenue cycle processes will become even more complex. Providers can prepare by following these steps.
VBC, MA, FHIR and Modern Care
We know from everyday purchasing of goods and services that you have to combine what you’re getting with what you’re paying for that good or service. But how does this basic consumer supplier concept play out in US healthcare?
Payers Are Putting Profit Over Patients with Denials and Prior Auth Policies, Hospitals Say
Hospitals are facing increasingly burdensome policies from commercial insurers, leading to problems with cash flow and patient safety. Hospital executives think federal regulators need to enact stricter policies that require payers to operate on faster timelines, as well as provide more transparency into their reasons for denying claims.
How Embedded Finance Creates a Better Patient Experience
In an age where consumers have more options than ever about where to receive their care, improving the financial experience through embedded finance can give providers an advantage in an increasingly competitive marketplace.
Preserving Profitability: Why Financial Redundancy Is Vital in Healthcare
While hospitals have contingency plans for events like power outages and extreme weather — backup generators, secondary chillers, and fiber for internet coverage — they can typically neglect vulnerabilities in the revenue cycle. Here are five proactive measures for hospitals and revenue cycle management/clearing house partners.