What You Should Know:
- The U.S. healthcare system is entering 2026 with medical cost trends reminiscent of 15 years ago, facing persistent inflationary forces and significant federal policy changes, according to a new report from PwC.
- The report, "Medical Cost Trend: Behind the Numbers 2026," projects the Group medical cost trend to remain at 8.5% in 2026 (the same level as 2025) and the Individual market trend at 7.5%. Pharmacy costs are a particular concern, projected 2.5
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Methodist Le Bonheur Selects Ensemble as Strategic RCM Partner
What You Should Know:
- Ensemble, a revenue cycle managed services partner for healthcare organizations, announced that Methodist Le Bonheur Healthcare (MLH) has selected it as its strategic revenue cycle management (RCM) partner.
- Ensemble will assume full responsibility for end-to-end revenue cycle operations across all six hospitals in the Memphis-based health system, bringing advanced technology, deep operational expertise, and a shared commitment to delivering exceptional
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ZeOmega Partners with Massachusetts Health Data Consortium to Launch Nation’s First Statewide FHIR-Based Prior Authorization System
What You Should Know:
- ZeOmega®, a population health and interoperability technology company announced it has been selected by the Massachusetts Health Data Consortium (MHDC), a nonprofit advancing health data sharing, to transform prior authorization and clinical data exchange across Massachusetts.
- The initiative creates the nation’s first statewide FHIR®-based system designed to streamline communication between payers and providers, reducing administrative burdens and
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What Are Healthcare’s Most Pressing Revenue Integrity Issues in The Remote-Work Era?
With more and more organizations merging for scale and sustainability, revenue cycle teams are being centralized, taking these critical personnel further away from physicians at the bedside. Remote teams are finding it harder than ever to collaborate with clinicians on critical functions.
Simultaneously, more revenue cycle functions are being automated as robotic process automation and generative AI evolves. With fewer administrative personnel in general — and even fewer
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Omega Healthcare Expands Microsoft Collaboration, Launches 20+ AI Solutions to Transform Revenue Cycle Management
What You Should Know:
- Omega Healthcare, a provider of technology-enabled Revenue Cycle Management (RCM) services, today announced an expanded collaboration with Microsoft.
- Through the integration of Microsoft Azure's cutting-edge AI models via Azure AI Foundry and the company's proprietary Omega Digital Platform (ODP), Omega Healthcare has launched more than 20 generative and agentic AI solutions designed to enhance healthcare organizations' revenue cycle operations and
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5 Trends Reshaping Radiology RCM in 2025: AI, Automation, and The Road Ahead
Artificial intelligence (AI) is transforming radiology practices through improved diagnostic accuracy, efficiency, and patient care. Just as it analyzes images for subtle patterns and anomalies, AI is emerging as an essential tool for streamlining billing, increasing efficiency, and maximizing collections.
CEOs, CFOs, practice managers, billing leaders, and practice owners must stay ahead of emerging trends to remain competitive, efficient, and profitable. Every radiology practice
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Abridge Secures $300M to Embed Revenue Cycle Intelligence into Clinical Conversations
What You Should Know:
- Abridge, a generative AI platform for clinical conversations secures $300M in Series E funding led by Andreessen Horowitz (a16z), with participation from Khosla Ventures.
- The new capital will accelerate the company's efforts to transform the way care is delivered, documented, and reimbursed, starting at the point of care.
Tackling Healthcare's Administrative Burden at its Source
Every year, the U.S. healthcare system spends nearly $1.5 trillion
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The End of Manual RCM? How AI is Automating Claim Remediation
In the complex and often frustrating world of healthcare billing, claim denials, underpayments, and repeated resubmissions are among the most persistent and costly challenges faced by providers. The process is time-consuming, error-prone, and resource-intensive which results in wasted time and detracts from patient care. Fortunately, advanced machine learning (ML) and artificial intelligence (AI) are transforming this process, by helping providers reduce the time, cost, and frustration
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PE Firm Harvest Partners Invest in RCM Company Med-Metrix
What You Should Know:
- Med-Metrix, LLC, a provider of technology-enabled Revenue Cycle Management (RCM) solutions has received a significant growth investment from funds managed by Harvest Partners, LP (“Harvest”).
- The investment, made in partnership with Med-Metrix's management and its prior owner, A&M Capital (“AMC”), will support the company’s next phase of development.
AMC to Retain Minority Investment
The company’s management team, led by CEO Joseph Davi, will
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HFMA25: FinThrive Launches New AI Platforms to Stop Revenue Leakage
What You Should Know:
- FinThrive, a healthcare revenue management SaaS provider, today announced the launch of FinThrive Fusion™, the first dynamic intelligence platform purpose-built on a modernized data fabric to power the future of revenue cycle management (RCM) innovation.
- The company also announced the launch of FinThrive Denials and Underpayments Analyzer, a next-generation analytics solution powered by the new platform.
Introducing the Denials and Underpayments
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