What You Should Know:
The Launch: Cedar has announced a major expansion of Cedar Intelligence, its AI-powered decision engine, embedding new generative and predictive capabilities across its entire product suite.The Catalyst: Cedar's internal data reveals a breaking point in healthcare affordability. Even among patients classified as "most likely to pay," only 65% are satisfied with their financial experience. For financially at-risk patients, satisfaction drops to 40%, and they are
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Office Ally Acquires Jopari Solutions to Expand Clearinghouse Network and Electronic Claims Processing
What You Should Know
Office Ally, a major healthcare technology clearinghouse, has acquired Jopari Solutions, a leader in straight-through electronic claims processing. The financial terms of the deal (which included an exit for WestView Capital) were not disclosed.
Bridging the 'Clinical Attachment' Gap
Jopari specializes in the notoriously fragmented Property & Casualty (P&C), Workers' Compensation, and Auto Medical markets. These sectors are notoriously paper-heavy
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Practice Margin: Why Pre-Visit Workflow is the Ultimate Revenue Protector
If you’ve managed an ambulatory practice, you know immediately where the money leaks: it isn’t just in clinical inefficiency; it’s in the administrative seams that surround every visit. Phone tag, duplicate registration work, eligibility surprises, referral fallout - these are the operational shortcomings that show up as denied claims, missed appointments, and staff turnover. The clinical encounter is just the tip of the iceberg; the real pressure on a practice’s margins emanates from the
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Commure Launches AI-Powered Speech-to-Cursor Dictation Tool for Clinical Workflows
What You Should Know
The Launch: Revenue cycle and clinical AI platform Commure has launched Commure Dictation, an AI-powered "speech-to-cursor" extension.Hardware Independence: The tool eliminates the need for expensive, dedicated dictation hardware. Clinicians can simply use the Commure Ambient mobile app as a wireless microphone.
Voice as an Operating System
Instead of toggling between different applications, a physician can now use their smartphone (via the Commure Ambient app) as a
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Corti Launches Symphony for Medical Coding API, Outperforming OpenAI and Anthropic in Clinical Accuracy ‘Claims’
What You Should Know
The Launch: Clinical AI lab Corti has released Symphony for Medical Coding, an agentic AI model available via API for healthcare software developers.Performance Benchmark: The model “claims” to outperform generalized LLMs from tech giants—including OpenAI, Anthropic, Amazon, Oracle, and Google—by more than 25% in clinical accuracy benchmarks.
Beyond the Back Office: The Human Cost of Bad Data
The problem is fundamental: generic LLMs are essentially highly advanced
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Ensemble and Cohere Partner to Build First RCM-Native Large Language Model for Healthcare
What You Should Know
The Announcement: Ensemble, a top end-to-end revenue cycle managed services provider, and enterprise AI company Cohere are expanding their partnership to build the healthcare industry’s first RCM-native large language model (LLM).The Native LLM Solution: Instead of teaching the AI the rules via prompts, Ensemble and Cohere are fine-tuning a fully custom model from the ground up. It is trained on real RCM tasks, documented procedures, and deep operator expertise to power
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IKS Health Acquihires AI Startup ThinkDTM to Transform Patient Access Solutions
What You Should Know
The Deal: Global care enablement leader IKS Health has executed a strategic "acquihire" of ThinkDTM, an AI-native product and digital services company.The Leadership Shuffle: ThinkDTM Founder Tij Bedi is joining the IKS Health C-suite as the new Executive Vice President and General Manager of Patient Access and Innovation. His entire team of AI engineers is coming with him.
Leadership Appointment
Tij Bedi, the Founder of ThinkDTM, is joining IKS Health as the
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Building an ‘AI-Ready’ Healthcare Enterprise Using NIST and ISO Frameworks
Technology leaders across diagnostic organizations, radiology practices, pharmacies, and specialty pharmacies are hearing a consistent message from technology providers: “Adopt AI or fall behind.”
The problem is that “adopt AI” is not a strategy. It’s an activity, and too often, it turns into a series of pilots that never become fully integrated enterprise capabilities.
That failure is well-documented. According to a 2025 “State of AI in Business” report on enterprise AI implementation by
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Collectly Acquires AI Automation Startup Pledge Health to Streamline Pre-Service Workflows
What You Should Know
The Acquisition: Collectly, a dominant AI-powered patient financial experience platform that has processed over $1 billion in payments across 3,000+ facilities, has acquired Y Combinator-backed Pledge Health.The Missing Piece: Collectly has historically owned the post-visit patient billing and engagement experience. Pledge Health brings powerful, upstream pre-service automation (coverage verification, upfront cost estimates, prior auth readiness).The Tech Upgrade: Pledge
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Adonis Secures $40M for AI‑Driven Revenue Cycle Operations Platform
What You Should Know
The Funding: New York-based Adonis, an AI orchestration platform for Revenue Cycle Management (RCM), has raised $40M in Series C funding. The round was led by Quadrille Capital, bringing the company's total funding to over $95M since its founding in 2022.The Financial Velocity: Adonis is scaling rapidly. The company reported achieving more than 4x revenue growth in 2025 and an impressive net retention rate above 130%.The Market Crisis: The healthcare reimbursement
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