What You Should Know:
- Knowtion Health, a healthcare revenue cycle company, has acquired Switch RCM, a data- and technology-first company that uncovers and resolves overlooked reimbursement opportunities through intelligent automation and data-driven innovation.The financial terms of the transaction were not disclosed.
- The combination of Knowtion and Switch RCM is designed to address the growing challenges faced by health systems, including increasing payer complexity, shrinking
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Huron to Acquire Revenue Cycle Consulting Firm Eclipse Insights
What You Should Know:
- Huron has entered into an agreement to acquire Eclipse Insights, a revenue cycle consulting firm dedicated to helping healthcare organizations maximize revenue and improve cash flow. This acquisition is set to enhance Huron’s ability to drive revenue cycle yield and efficiencies for its clients.
- The move comes as healthcare providers continue to face significant financial challenges, including ongoing margin pressures, workforce shortages, declining
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Commure Raises $200M to Accelerate AI-Powered RCM Platform
What You Should Know:
- Commure, the fast-growing enterprise AI healthcare technology company, today announced it has secured $200M in growth financing from General Catalyst’s Customer Value Fund (CVF). The funding will be used to meet the surging demand for Commure’s full-stack AI platform, which spans revenue cycle management (RCM), ambient AI clinical documentation and workflows, and practice management solutions.
- The CVF transaction enables Commure to scale its investment in
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Collectly Launches “Billie,” an AI Agent for 24/7 Patient Billing Support
What You Should Know:
- Collectly, the AI-powered platform reshaping patient billing and revenue cycle management (RCM), today announced the launch of Billie—a breakthrough AI agent for patient billing and RCM. Billie is available to patients 24/7 across chat, email, text, and voice, providing real-time answers to complex medical billing questions and simple, one-click payment options.
- The launch comes at a critical time when patients are often overwhelmed by confusing medical
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Why Claims Data Alone Leave Gaps in Understanding the Patient Journey
In today’s precision medicine landscape, pharmaceutical companies and access teams face a critical challenge: understanding not just whether therapies work, but how they are accessed, adopted, and experienced by real-world patients. This requires going beyond traditional data sources, particularly claims data, which—while useful—often fails to capture the nuanced clinical and diagnostic steps that define the patient journey. To truly understand and improve therapy adoption, stakeholders need a
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INSIGHTS: What Leaders Expect to Hear at HFMA Annual Conference
As healthcare finance leaders prepare to gather for the upcoming HFMA Annual Conference, they face a familiar but intensified set of challenges: shrinking margins, rising operational costs, and an increasingly complex reimbursement landscape. This year, however, a dominant theme emerges from the conversation: the role of Artificial Intelligence in revolutionizing the revenue cycle. We asked six healthcare executives for insights on what key themes/trends they expect to be the most talked
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How Cyber Threats Are Reshaping Healthcare Revenue Cycle Strategy
The impact of any data breach cannot be overstated, especially in healthcare. Unlike other sectors, such as financial services or travel, healthcare records contain “one of one” data – medical history cannot simply be replaced or revoked, making this data uniquely valuable to threat actors.
Unfortunately, healthcare has seen a clear surge in data breaches in recent years.
Financially motivated hackers and insider threats are increasingly exploiting cybersecurity gaps that were
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Humata Health’s AI-Powered Prior Authorization Platform Now Available on Microsoft Azure Marketplace
What You Should Know:
- Humata Health, a provider of AI-powered touchless prior authorizations, today announced the availability of its platform in the Microsoft Azure Marketplace, an online store providing applications and services for use on Azure.
- The integration allows healthcare payers and providers seeking to automate prior authorization to leverage the productive and trusted Azure cloud platform, with streamlined deployment and management.
Transforming End-to-End
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85% of Cancer Patients Face Unnecessary Insurance “Red Tape” Due to Prior Authorization, Says New CancerCare Report
What You Should Know:
- A new national survey from CancerCare reveals how insurance utilization management practices, particularly prior authorization, create serious and stressful barriers to care for cancer patients. The report, titled "The Health Insurance Maze: How Cancer Patients Get Lost in the Red Tape of Utilization Management," found that these requirements frequently delay diagnosis and treatment, adding significant "time toxicity" to patients' lives.
- The
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Scalability in Revenue Cycle: Building a Flexible Model for Sustainable Growth
The demands on revenue cycle management (RCM) today are unrelenting. Healthcare providers are navigating ongoing regulatory shifts while financial constraints and growing patient volumes place immense pressure. The average internal cost of running an RCM operation has increased from 4% to 5%, even with the advances in technology and automation. To be successful, providers must maintain efficiency while delivering quality care.
With this current landscape, RCM must be built for adaptability;
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