New & Notable
Abridge, Microsoft earn top spots for revenue cycle tech
KLAS released its list of top vendor solutions for health IT, including revenue cycle management technology and services.
How NGHS balances revenue cycle AI adoption, ROI
Northeast Georgia Health System is accelerating AI adoption, especially in revenue cycle management, but leaders have learned to balance speed of innovation with ongoing ROI.
Tenet regains full ownership in RCM subsidiary Conifer as CommonSpirit exits
CommonSpirit, angling to insource its revenue cycle management functions, is offloading its minority share in Conifer back to Tenet.
— Healthcare Dive
Half of providers report revenue losses from credentialing delays
Credentialing delays are costing some hospitals over $1M annually as provider organizations face workforce challenges and manual processes.
No Surprises disputes increasing even as arbiters catch up, CMS says
— Healthcare DiveTrinity Health to lay off 10.5% of revenue cycle headcount
— Healthcare DiveSponsored Sites
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Specialty Drug Management
Optum Specialty Fusion
At Optum, we’re evolving health care so everyone can have the opportunity to live their healthiest life. It’s why we put your unique needs at the heart of everything we do, making it easy and affordable to manage health and well-being. Together, for better health.
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Risk Adjustment Compliance
RAAPID
RAAPID develops AI-powered risk adjustment solutions for healthcare payers, providers, and supporting organizations. The company's HITRUST-certified platform uses Neuro-Symbolic AI to identify chronic conditions, determine HCC codes, and provide explainable documentation for complete audit defense. Backed by M12 (Microsoft's venture fund), RAAPID serves organizations participating in Medicare Advantage, ACA, Medicare ACO, and Medicaid programs with both retrospective and prospective risk capture capabilities. Founded by healthcare technology veterans with over 20 years of experience, RAAPID is headquartered in Louisville, Kentucky.
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Cybersecurity
Commvault + Microsoft
Together, Commvault and Microsoft are redefining cybersecurity and data resilience with a comprehensive, integrated platform, purpose-built to secure, defend, and recover data wherever it lives with true cloud simplicity, intelligence, and scale.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
View All Episodes
Latest News
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Abridge, Microsoft earn top spots for revenue cycle tech
KLAS released its list of top vendor solutions for health IT, including revenue cycle management technology and services.
-
Half of providers report revenue losses from credentialing delays
Credentialing delays are costing some hospitals over $1M annually as provider organizations face workforce challenges and manual processes.
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R1 adds prior authorization solution to new revenue cycle OS
R1 announced a new prior authorization solution as part of the Phare OS that seek to automate and scale the process for faster decisions with minimal human touch.
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Healthcare leaders expect AI maturity this year, especially in RCM
A new report shows low AI maturity despite widespread adoption in the revenue cycle. Still, leaders expect to mature rapidly over the next year or two as they confront data constraints.
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U.S. healthcare spending reaches $5.3T as utilization rebounds
New CMS data shows another year of accelerated healthcare spending driven by increased utilization, particularly of hospital and physician care.
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Revenue cycle leaders set sights on improving patient experience
Improving patient experience surpassed increasing revenue for the first time, indicating a shift in revenue cycle strategy in 2026.
Features
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How NGHS balances revenue cycle AI adoption, ROI
Northeast Georgia Health System is accelerating AI adoption, especially in revenue cycle management, but leaders have learned to balance speed of innovation with ongoing ROI.
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2026: The year of uncertainty for healthcare financial leaders
Coming off a turbulent 2025, the new year raises questions about how change will impact financial operations; a renewed focus on affordability and AI may help leaders navigate 2026.
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Meet the 6 vendors participating in the CMS WISeR Model
The vendors selected to lead a new CMS model will apply their technologies leveraging AI to streamline the Medicare prior authorization process in six states.
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ACA enhanced tax credit fight exposes healthcare's funding crisis
Enhanced premium tax credits are at the center of the latest government shutdown, creating concerns for providers and exposing a history of patchwork solutions for a cracked system.