New & Notable
Revenue cycle AI, IDR disputes drive 9% medical cost trend
The medical cost trend is reaching its highest level in nearly two decades as AI-enabled coding and provider wins under the IDR process inflate costs, PwC says.
Reports say Ensemble is close to a $12B private equity bid
New reports say the firm founded by executive Matt Holt is close to a $12 billion acquisition of Ensemble Health Partners, marking another landmark deal in the RCM sector.
Patient access has a revenue leakage issue. Can AI solve it?
A new report finds that a typical health system loses $6.2M in avoidable referral leakage, but AI-enabled patient access centers are recapturing lost revenue.
FinThrive bets AI can prevent denials with new product
A new product from FinThrive uses AI to get ahead of claim denials, using data from real-world payer behavior as the company undergoes another financial restructuring.
Eli Lilly issues data sharing ultimatum to 340B hospitals
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Latest News
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Revenue cycle AI, IDR disputes drive 9% medical cost trend
The medical cost trend is reaching its highest level in nearly two decades as AI-enabled coding and provider wins under the IDR process inflate costs, PwC says.
-
Reports say Ensemble is close to a $12B private equity bid
New reports say the firm founded by executive Matt Holt is close to a $12 billion acquisition of Ensemble Health Partners, marking another landmark deal in the RCM sector.
-
Patient access has a revenue leakage issue. Can AI solve it?
A new report finds that a typical health system loses $6.2M in avoidable referral leakage, but AI-enabled patient access centers are recapturing lost revenue.
-
FinThrive bets AI can prevent denials with new product
A new product from FinThrive uses AI to get ahead of claim denials, using data from real-world payer behavior as the company undergoes another financial restructuring.
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Athenahealth unveils over 80 revenue cycle AI features
The company announced its revenue cycle management roadmap, including new AI capabilities in its flagship platform for prior authorizations, coding and denial resolution.
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No Surprises Act IDR gets major overhaul from CMS
A new final rule slashes IDR fees to $15, speeds up eligibility checks to 5 days, expands claim batching and boosts transparency to fix No Surprises Act bottlenecks.
Features
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New No Surprises Act rules won't fix $51M crisis, TX group says
Radiology Associates of North Texas expects to pay millions to participate in the No Surprises Act's IDR process even as CMS tries to alleviate major pain points for providers.
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The U.S. finally bent the healthcare cost curve, one economist says
Health economist David Cutler's new analysis shows a deceleration in U.S. healthcare spending as technology advancements make care cheaper.
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How AI scribes are shifting coding intensity, reimbursement
The proliferation of AI scribes for clinical documentation has started a shift in coding intensity, raising concerns about reimbursement and affordability.
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Agentic AI evolution begins to pave way for autonomous revenue cycle
A fully automated revenue cycle in which staff work hand-in-hand with AI is looming, but success will require a mature AI strategy.