What You Should Know
The Acquisition: Knowtion Health, a major player in healthcare revenue cycle management (RCM), has officially acquired revly, a startup specializing in intelligent reimbursement solutions and claims routing.The Buyer's Scale: Founded in 2008 and backed by Arsenal Capital Partners and Sunstone Partners, Knowtion Health already serves over 550 hospitals nationwide and manages more than $4.5B annually in outstanding balance accounts.The Technology Acquired: Founded in 2021,
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Transcarent Partners with Bluespine to Launch Payment Integrity Category for Self-Insured Employers
What You Should Know
The Launch: Transcarent has officially launched a new "Payment Integrity" category within its Experience Store, driven by a strategic partnership with Bluespine, an AI-driven health tech company.The Macro Problem: Between 3% and 10% of total U.S. healthcare spending—more than $300 billion annually—is lost to fraud, waste, and abuse.The Fiduciary Risk: For self-insured employers, this financial leakage isn't just a budget issue; it is a massive governance risk under the
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The Prior Auth Panic: WEDI Survey Reveals Providers Are Stalling as the CMS API Deadline Looms
What You Should Know
The Mandate: The Centers for Medicare & Medicaid Services (CMS) Advancing Interoperability and Improving Prior Authorization Final Rule (CMS-0057-F) mandates the use of specific APIs to streamline data exchange by January 1, 2027.The Payer Rebound: According to WEDI's February 2026 survey, payers have made massive strides. Only 10% report having not yet started their prior authorization API work—a sharp drop from 43% in late 2025.The Provider Paralysis: Providers,
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HIMSS26 Wednesday Wrap-Up: Scaling Agentic AI, Securing the Enterprise, and Fixing Hospital Finance
Wednesday at HIMSS26 brought a necessary, pragmatic reality check to the AI fervor. As the initial hype of massive product launches settles, Day 3 conversations pivoted heavily toward the hard logistics of making these advanced systems actually work at enterprise scale.
From tech giants redefining consumer triage to startups raising massive funding rounds to fix hospital finance, today was entirely about deployment-ready autonomy and the strict security required to govern it.
Here is your
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Translucent Secures $27M for Healthcare Finance AI Platform
What You Should Know
The Funding: Translucent, an AI-native healthcare finance startup, has closed a $27M Series A funding round led by GV (Google Ventures), with continued participation from NEA, Virtue, and FPV Ventures. This oversubscribed round comes just months after a $7 million seed round in August 2025.The Macro Crisis: Despite U.S. healthcare spending soaring past $5.6 trillion, provider margins are collapsing. Last year, delayed financial visibility and manual reconciliation
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Stamford Health Selects Ensemble Health Partners for End-to-End RCM Operations
What You Should Know
The Partnership: Stamford Health, a 305-bed independent health system in Connecticut, has selected Ensemble Health Partners to manage its end-to-end revenue cycle operations.The Clinical Pedigree: Stamford Health is recognized as the #1 Hospital in Fairfield County by U.S. News & World Report, holds Magnet Status for nursing excellence, and is Planetree Gold-Certified for person-centered care.The RCM Tech Stack: Ensemble will deploy its integrated operating model,
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HIMSS26: Epic EHR Unveils ‘Agent Factory’ and Custom Foundation Models
What You Should Know
The Milestone: At HIMSS26, Epic announces that more than 85% of Epic’s customer base is now actively utilizing its suite of artificial intelligence tools.Clinical ROI (Art): Epic's clinician-facing AI, Art, is generating massive clinical and operational leverage. The ambient listening tool, Chart with Art, is now expanding into bedside nursing (live at Houston Methodist) and home care. Beyond charting, Art is actively driving clinical outcomes—such as boosting early lung
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HIMSS26: MEDITECH Expands Expanse AI Portfolio with Native Ambient Intelligence and Claim Denial Agents
What You Should Know
The Launch: At the HIMSS26 conference, MEDITECH announced a major expansion of its Expanse AI portfolio, signaling a shift toward natively embedded artificial intelligence.Native Ambient Listening: Instead of relying on third-party integrations, MEDITECH has embedded ambient listening directly into the Expanse Now app for physicians and the Expanse Point of Care app for nurses. The AI captures conversations in real time, automatically generates clinical notes, and parses
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HIMSS26: Innovaccer Launches Flow Capture to Bring Autonomous AI to Medical Coding
What You Should Know
The Launch: Innovaccer has launched Flow Capture, an autonomous medical coding solution designed to eliminate the manual bottleneck in the hospital revenue cycle.The Metric: The system is engineered to autonomously code approximately 80% of encounters without any human intervention. The remaining 20% of complex edge cases are routed to certified human coders with full AI-assisted context.The "Upstream" Advantage: Flow Capture succeeds because it doesn't wait for the visit
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Elation Health Launches AI Fast Lane to Automate Primary Care Billing Workflows
What You Should Know
The Launch: Elation Health, a clinical-first technology platform for primary care, has launched new AI-powered billing workflows featuring a "touchless fast lane" for claims.The Hard ROI: In pilot practices, 72% of eligible routine claims were created completely touchlessly directly from the visit note sign-off. Of those, over 95% were reviewed, confirmed, and submitted for reimbursement without any additional manual intervention.Smart Coding in the Encounter: The AI
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