What You Should Know
End-to-end revenue cycle management leader Ensemble Health Partners announced at its Healthcare Leadership Exchange, a strategic enterprise partnership with Penelope Health ("Penelope"), a real-time healthcare policy intelligence platform.The collaboration natively embeds Penelope’s structured clinical policy engine directly into Ensemble’s proprietary revenue cycle intelligence layer, shifting policy and medical necessity verification upstream before clinical care is
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Oracle Health Unveils Upstream AI Revenue Cycle Portfolio at Health and Life Sciences Summit
What You Should Know
At the Oracle Health and Life Sciences Summit, Oracle Health announced a major portfolio-wide expansion of embedded artificial intelligence capabilities across its Revenue Cycle Management (RCM) suite, scheduled for rollout in the coming months across U.S. healthcare organizations.The strategic deployment brings machine learning and generative workflows upstream into the earliest operational stages—spanning patient scheduling, financial clearance, clinical documentation,
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Experian Health Patient Access Curator Prevents $50M in Composite Health System Denials
What You Should Know
A commissioned Total Economic Impact™ (TEI) study conducted by Forrester Consulting in August 2026 revealed that Experian Health’s Patient Access Curator™ protected $50.4M in revenue over three years for a modeled composite health system.Over a three-year implementation window, the platform reduced coordination of benefits (COB) denials by 40%, eligibility denials by 35%, and registration-related denials by 20%.The financial analysis evaluated a composite integrated
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R1 Unveils Phare Utilization Management on Phare OS to Eliminate Medical Necessity Denials
What You Should Know
Healthcare revenue cycle management leader R1 announced the launch of Phare Utilization Management (Phare UM), an AI-enabled solution moving hospital utilization management from retrospective chart auditing to proactive, real-time decisioning.The Guthrie Clinic—a non-profit, integrated health system serving northern Pennsylvania and upstate New York—is among the first health systems to deploy Phare UM across its acute care operations.Built directly on Phare OS, R1’s core
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Abridge Enters the Mid-Revenue Cycle with Pre-Bill AI for CDI and Coding Teams
What You Should Know
Ambient clinical AI leader Abridge has expanded its enterprise clinician intelligence platform into the mid-revenue cycle, launching an AI-powered pre-bill review capability tailored for Clinical Documentation Integrity (CDI), coding, and health system revenue cycle management (RCM) teams.Marks Abridge’s formal product expansion from point-of-care ambient documentation into institutional revenue integrity, auditing inpatient claims before submission for
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How eClinicalWorks Agentic AI Is Helping Revenue Cycle Leaders Improve Financial Performance
One of the most immediate opportunities for transformation in healthcare is revenue cycle management (RCM), the operational backbone that keeps organizations financially viable.
For years, healthcare organizations have faced growing pressure to improve financial performance while payer requirements evolve; billing regulations become more complex, and qualified RCM staff become harder to find and retain. For many organizations, the challenge is no longer simply doing more with less. It is
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Savista Acquires ABW Medical to Expand Ambulatory and FQHC Revenue Operations
What You Should Know
Healthcare operations and revenue cycle management (RCM) company Savista has acquired ABW Medical, an ambulatory RCM provider specializing in the non-acute healthcare sector.The transaction expands Savista’s operational footprint into community health centers, federally qualified health centers (FQHCs), physician medical groups, management services organizations (MSOs), rural health providers, and virtual care platforms.Integrates ABW Medical’s preferred partner status
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FinThrive Names Former Kaiser Permanente Leader Brandon Burnett Chief RCM Officer
Healthcare revenue cycle software provider FinThrive has named Brandon Burnett as its Chief Revenue Cycle Management (RCM) Officer. The move brings 25 years of provider-side operational experience directly into FinThrive’s executive ranks as the company expands the use of artificial intelligence across hospital billing and patient access workflows.
In the newly created role, Burnett will bridge the gap between software development and the day-to-day realities of hospital finance teams,
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Juno Health Integrates SlicedHealth to Deliver Native Revenue Intelligence for Rural Hospitals
What You Should Know
Juno Health announced a strategic partnership with SlicedHealth to offer SlicedHealth’s revenue cycle and operations intelligence tools as a fully integrated, included complement to Juno EHR’s native revenue cycle management (RCM) suite.The partnership specifically targets rural hospitals and Critical Access Hospitals (CAHs), delivering advanced revenue protection and contract intelligence tools historically reserved for large health systems.SlicedHealth brings proven
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Arintra Secures $25M to Scale GenAI Autonomous Medical Coding
What You Should Know
Arintra, an autonomous medical coding startup headquartered in Austin, Texas, with engineering operations in Bengaluru, raised approximately $25 million in a Series B funding round led by Define Ventures.The syndicate includes new strategic backing from Yale New Haven Ventures and Endeavor Ventures, alongside participation from existing investors Y Combinator, Ten13 Capital, Counterpart Ventures, Spider Capital, and Peak XV Partners (which previously led Arintra’s $21
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