Every year, hospitals across the United States, regardless of their size or type, face significant financial losses amounting to hundreds of billions of dollars due to uncompensated care. This staggering figure does not even consider the additional losses incurred by hospitals as a result of underpayments from government-funded healthcare programs such as Medicare and Medicaid.
As healthcare organizations grapple with rising costs, eroding financial margins, ongoing labor shortages, and
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Adonis Raises $31M to Expand AI-Powered Revenue Cycle Automation
What You Should Know:
- Adonis, a healthcare revenue intelligence and automation company raises $31M in Series B funding led by Point72 Private Investments, bringing Adonis’ total funding to $54M.
- With this new funding, Adonis plans to accelerate product innovation, expand its reach within health systems, and grow its team based in New York City. This latest investment round follows a successful Series A round of $17.3M led by General Catalyst just twelve months ago.
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Humata Health Secures $25M for AI-Powered Prior Authorization
What You Should Know:
- Humata Health, a company revolutionizing prior authorizations in healthcare with AI and automation raises $25M co-led by Blue Venture Fund and LRVHealth with participation from Optum Ventures, .406 Ventures, Highmark Ventures, and VentureforGood further demonstrates the widespread support for Humata's innovative approach.
- With this significant investment, Humata Health will expand its AI capabilities, broaden its provider base, and partner with payers to
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Q/A: Experian Health’s CPO Talks State of Patient Access
Experian Health, a provider of solutions in revenue cycle management, identity management, patient engagement, and care management, plays a pivotal role in transforming the healthcare landscape. By leveraging advanced data analytics and innovative technology, Experian Health aids healthcare organizations in improving operational efficiency and enhancing patient access to care.
The company has just released its annual “State of Patient Access Survey,” which reveals a notable shift from last
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How AI Can Increase the Success of Clinical Denials Appeals
It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue growth. Growing challenges with payer payments only exacerbate these issues. According to a Kaufman Hall report, 73% of leaders surveyed said claims denials, which was the top revenue cycle issue in 2022, had increased in 2023.
The cost of denials is staggering. A recent data analysis revealed that providers spent nearly $20
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Evolent Acquires Machinify’s AI-Driven Medical Authorization Solution
- Evolent Health, Inc. (NYSE: EVH), a leader in improving health outcomes for patients with complex conditions, announced today an agreement to acquire key assets from Machinify, including the exclusive license to their AI-powered platform, Machinify Auth.
- Additionally, certain Machinify employees will join Evolent. Both companies plan to establish a long-term services agreement to ensure smooth integration and ongoing platform development. This innovative technology aims to
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Hospitals See Strong Financial Performance in April, Despite Rising Expenses
What You Should Know:
- U.S. hospitals and health systems continued to experience positive financial performance in April, with patient demand and revenues rising for the 12th consecutive month, according to new data from Strata Decision Technology.
- While hospitals and health systems experienced positive financial performance in April, rising expenses remain a concern. Continued monitoring of these trends will be crucial for understanding the overall health of the healthcare
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SamaCare Secures $17M to Scale Specialty Drug Prior Authorization Platform
What You Should Know:
- SamaCare, a cloud-based patient access platform for specialty medications, today announced that it has closed an oversubscribed $17 million Series B investment round led by new investor Questa Capital.
- Questa is joined in the round by existing investors Vive Collective and South Park Commons.
SamaCare
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Daffodil Health Secures $4.6M for AI-Powered Healthcare Pricing & Admin Solution
What You Should Know:
- Daffodil Health, a healthcare technology company, has secured $4.6M in seed funding to tackle the multi-billion dollar problem of wasted healthcare administrative costs led by Maverick Ventures with participation from Epic Ventures.
- Daffodil Health is the brainchild of a team with over 100 years of combined experience in healthcare and technology, from companies like MultiPlan, Google, and McKinsey. They recognize the urgent need to overhaul the current
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SmarterDx Nabs $50M for AI-Powered Revenue Integrity for Hospitals
What You Should Know:
- SmarterDx, the leader in clinical AI for revenue integrity and care quality, today announced it has secured $50 million in Series B funding led by Transformation Capital.
- The round also includes continued investments from Bessemer Venture Partners, Flare Capital Partners and Floodgate Fund, bringing total funding to $71 million to date. The investment will drive product
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