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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant

R1 RCM to Be Acquired by TowerBrook and CD&R for $8.9B

by Fred Pennic 08/01/2024 Leave a Comment

R1 RCM to Be Acquired by TowerBrook and CD&R for $8.9B

What You Should Know:  - R1 RCM Inc., a leading provider of technology-driven healthcare revenue cycle management solutions, announced that it has entered into a definitive agreement to be acquired by investment funds affiliated with TowerBrook Capital Partners and Clayton, Dubilier & Rice (CD&R). The all-cash transaction values R1 at approximately $8.9 billion.   - Under the terms of the agreement, TowerBrook and CD&R will acquire all outstanding shares of R1
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How EHRs Should Help not Hurt Health System Finances

by Sandra Johnson, SVP of Client Services at CliniComp 07/18/2024 Leave a Comment

How EHRs Should Help not Hurt Health System Finances

Hospitals and health systems continue to face persistent challenges from rising costs and labor shortages across clinical, administrative and revenue cycle teams. Recent news from Humana highlights that rising costs, “may persist for an extended period or, in some cases, permanently reset the baseline.” In addition, half of hospitals and health systems surveyed reported $100 million in Accounts Receivable (AR) for claims older than 6 months, amounting to $6.4 billion in delayed or unpaid claims,
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Thoughtful AI Secures $20M, Launches Human-Capable RCM AI Agents

by Fred Pennic 07/18/2024 Leave a Comment

Thoughtful AI Secures $20M, Launches Human-Capable RCM AI Agents

What You Should Know:  - Thoughtful AI, a provider of AI-powered revenue cycle automation (RCM), has announced a series of exciting developments, including the launch of the world's first fully human-capable AI Agents for healthcare RCM, exceptional growth metrics, and $20 million in Series A funding. - Thoughtful AI's groundbreaking AI Agents, CAM, EVA, and PHIL, are tackling the burden of repetitive RCM tasks like claims processing, patient eligibility verification, and payment
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Med-Metrix Acquires HRSI to Strengthen Eligibility Management Capabilities

by Fred Pennic 07/16/2024 Leave a Comment

Med-Metrix Acquires HRSI to Strengthen Eligibility Management Capabilities

What You Should Know:  - Med-Metrix, LLC (“Med-Metrix”), a leading provider of technology-enabled Revenue Cycle Management (RCM) solutions acquires Healthcare Receivable Specialists, Inc. (“HRSI”). HRSI is a specialized RCM and patient access company with a strong reputation for its best-in-class Medicaid eligibility services. - The strategic acquisition strengthens Med-Metrix’s position as a comprehensive RCM provider by adding HRSI’s expertise in eligibility management. Financial
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Regard Secures $61M for AI-Powered Clinical Insights Platform

by Fred Pennic 07/11/2024 Leave a Comment

WakeMed to Deploy Regard’s AI Clinical Automation Platform Across Enterprise

What You Should Know:  - Regard, an AI-powered clinical insights platform raises $61M in Series B funding led by Oak HC/FT with participation from prominent healthcare and technology investors.  - The investment will fuel the company's mission to unlock the full potential of patient data for improved clinical care. Untapped Potential in Healthcare Data The healthcare industry is experiencing a data deluge. New technologies generate mountains of patient information, but a
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Carilion Clinic Selects Ensemble Health to Outsource Revenue Cycle Operations

by Fred Pennic 07/10/2024 Leave a Comment

Carilion Clinic Selects Ensemble Health to Outsource Revenue Cycle Operations

What You Should Know:  - Carilion Clinic, a Roanoke-based non-profit health system that owns and operates several hospitals in western Virginia -- announced it has selected end-to-end revenue cycle management (RCM) provider Ensemble Health Partners as its strategic end-to-end RCM partner. - Carilion chose Ensemble for its proven track record of quickly delivering value and sustaining high performance. Notably, Ensemble has consistently met 100% of year-one client goals, exceeded 102%
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Hummingbird Healthcare Secures $10M to Streamline Patient Access, Create Jobs

by Fred Pennic 07/02/2024 Leave a Comment

What You Should Know:  - Hummingbird Healthcare Inc., a tech-driven healthcare services company raises $10M in Series A funding led by UCHealth, a leading Colorado-based health system and existing investor. The round also included participation from CU Healthcare Innovation Fund, 8VC, and Gaingels. - With this new funding, Hummingbird is poised to expand its reach and empower healthcare providers to deliver exceptional patient experiences. Focus on Patient Access and Operational
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AdvancedMD Summer Release Streamlines Revenue Cycle, Enhances EHR and Patient Engagement

by Jasmine Pennic 07/02/2024 Leave a Comment

AdvancedMD Summer Release Streamlines Revenue Cycle, Enhances EHR and Patient Engagement

What You Should Know:  - AdvancedMD, a provider of cloud-based healthcare software for independent practices, recently unveiled its 2024 summer product release.  - The update boasts over 30 new features designed to enhance efficiency, improve productivity, and ultimately, boost revenue for medical practices. Seamless Payment Processing Takes Center Stage The centerpiece of the release is the revolutionary AdvancedMD Pay terminal, a certified PAX A920 credit card processing
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Inovalon and MEDITECH Alliance Partner to Streamline Revenue Cycle Management

by Fred Pennic 06/28/2024 Leave a Comment

Inovalon and MEDITECH Alliance Partner to Streamline Revenue Cycle Management

What You Should Know:  - Inovalon, an innovator in cloud-based healthcare data solutions, announced a strategic partnership with the MEDITECH Alliance.  - The strategic collaboration empowers thousands of healthcare providers using MEDITECH's electronic health record (EHR) systems to leverage Inovalon's end-to-end revenue cycle management (RCM) solutions. Optimizing Reimbursement and Reducing Errors The partnership tackles a significant challenge in healthcare: inefficient
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Unleashing the Dynamic Force of AI and Automation to Revolutionize Revenue Cycle Management

by Arnab Sen, Chief Strategy Officer, Omega Healthcare 06/28/2024 Leave a Comment

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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