What You Should Know
Healthcare intelligence leader Health Catalyst, Inc. completed the sale of its mid-revenue cycle business, Vitalware, LLC, to Med-Metrix, LLC on July 31, 2026.The divestiture generated $147M in total cash consideration, subject to customary adjustments.Health Catalyst combined the net proceeds with cash on hand to fully repay and retire its credit facility, eliminating approximately $19M in annual GAAP interest expense.Capital and operational focus will pivot toward
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
The Growing Disconnect Between Clinical Documentation and Reimbursement
Most documentation problems I have reviewed over the years were never really about documentation itself. They were workflow problems that showed up later as denials, CDI overruns, and revenue that quietly disappeared.
That is the honest truth the industry keeps avoiding. We keep buying tools to fix a problem that is not about tools. The gap between clinical documentation and reimbursement is not growing because technology is failing. It is growing because we keep ignoring how misaligned our
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Solventum Announces Intent to Separate Health Information Systems Business
What You Should Know
Solventum announced its intent to separate its Health Information Systems (HIS) business to sharpen focus as a pure-play MedTech provider centered on MedSurg and Dental Solutions.The Health Information Systems division generates $1.4B in annual sales, is deployed across 30+ countries, serves over 75% of U.S. hospitals, and processes roughly 660 million clinical documents monthly.Management operates within a ~$10 billion addressable market growing at 5–6% annually,
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AMS Solutions Releases 2026 Benchmark Report on The State of Medical Billing
What You Should Know
Physician-founded revenue cycle vendor AMS Solutions published its State of Medical Billing 2026 benchmark report, detailing a rise in industry-wide claim denial rates to 9% (up from 7.5% in 2023).Increased Medicare Advantage penetration and automated machine-learning claim reviews by commercial payers are driving higher denial rates, extended days in accounts receivable (averaging 42 days, up from 38), and stricter documentation requirements.Neurology exhibits the
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Procode Secures $10M to Scale AI-Powered Surgical Revenue Cycle Management
What You Should Know
AI-powered medical billing firm Procode Inc. announced a $10M Series A funding round led by Health Velocity Capital, bringing total venture funding to $14M.Funds two upcoming acquisitions of private practice billing agencies, mirroring its rollout following the acquisition of The Auctus Group (serving over 350 plastic surgery and dermatology providers).Combines Procode (automated CPT/ICD coding copilot), Procollect (billing team OS for AR acceleration), and the Auctus
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AdvancedMD Expands Waystar-Powered Revenue Cycle Offerings for Independent Practices
What You Should Know
Independent practice software leader AdvancedMD has expanded its revenue cycle management (RCM) suite with new Waystar-powered automation and AI capabilities.The launch directly addresses widespread provider friction—where 85% of medical groups rate payers poorly on reimbursement issues, and nearly 30% report worsening patient balance collections year-over-year.Key capabilities now live in the AdvancedMD portal include Coverage Detection (finding hidden billable
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Candid Health Secures $120M to Expand Autonomous Revenue Cycle Management Platform
What You Should Know
Autonomous revenue cycle management (RCM) platform Candid Health has raised $120 million in Series D funding led by Sixth Street Growth, with participation from Oak HC/FT, 8VC and
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KLAS Research Releases 2026 RCM Suites Report: Waystar Leads Market in Overall Satisfaction
What You Should Know
The 2026 KLAS Revenue Cycle Management Suites Report focuses on healthcare organizations using at least three distinct RCM modules (e.g., claims, eligibility, denials, insurance discovery) from a single vendor.KLAS highlights that while consolidation is accelerating, it has yet to validate a single vendor offering a fully mature, end-to-end RCM platform without functional trade-offs.Waystar earned an overall "A" grade—the highest in the report—driven by strong strategic
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From Claims to Compassion: Reclaiming Patient Advocacy in Revenue Cycle
I typically start my mornings with a little silence before the hustle and bustle of the day begins. One morning, the silence was interrupted by a frantic call from my father saying something was not right with my mom. For the next 60 seconds, there was a rapid fire of questions that ultimately ended with “Dad, hang up. Call 9-1-1. When they arrive, tell them that due to mom’s history we would like her to be airlifted to Vanderbilt. I will meet you there.” Unfortunately, we lost my mother several
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Rock Health H1 2026 Digital Health Funding Recap: Startups Hit $7.4B in Venture Rebound
What You Should Know
Rock Health Capital H1 2026 Digital Health Funding Report, U.S. digital health funding reached $7.4B across 244 deals in H1 2026, outposing H1 2025 by $1B and establishing a clear multi-year recovery from the post-pandemic market resets of 2023 and 2024.Mega deals ($100M+) absorbed a staggering 45% of all deployed capital in H1 2026, consolidating nearly half of the market's total funding into just 8% of finalized transactions.Mental health secured its position as the
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