What You Should Know
The Deal: Global care enablement leader IKS Health has executed a strategic "acquihire" of ThinkDTM, an AI-native product and digital services company.The Leadership Shuffle: ThinkDTM Founder Tij Bedi is joining the IKS Health C-suite as the new Executive Vice President and General Manager of Patient Access and Innovation. His entire team of AI engineers is coming with him.
Leadership Appointment
Tij Bedi, the Founder of ThinkDTM, is joining IKS Health as the
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Building an ‘AI-Ready’ Healthcare Enterprise Using NIST and ISO Frameworks
Technology leaders across diagnostic organizations, radiology practices, pharmacies, and specialty pharmacies are hearing a consistent message from technology providers: “Adopt AI or fall behind.”
The problem is that “adopt AI” is not a strategy. It’s an activity, and too often, it turns into a series of pilots that never become fully integrated enterprise capabilities.
That failure is well-documented. According to a 2025 “State of AI in Business” report on enterprise AI implementation by
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Collectly Acquires AI Automation Startup Pledge Health to Streamline Pre-Service Workflows
What You Should Know
The Acquisition: Collectly, a dominant AI-powered patient financial experience platform that has processed over $1 billion in payments across 3,000+ facilities, has acquired Y Combinator-backed Pledge Health.The Missing Piece: Collectly has historically owned the post-visit patient billing and engagement experience. Pledge Health brings powerful, upstream pre-service automation (coverage verification, upfront cost estimates, prior auth readiness).The Tech Upgrade: Pledge
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Adonis Secures $40M for AI‑Driven Revenue Cycle Operations Platform
What You Should Know
The Funding: New York-based Adonis, an AI orchestration platform for Revenue Cycle Management (RCM), has raised $40M in Series C funding. The round was led by Quadrille Capital, bringing the company's total funding to over $95M since its founding in 2022.The Financial Velocity: Adonis is scaling rapidly. The company reported achieving more than 4x revenue growth in 2025 and an impressive net retention rate above 130%.The Market Crisis: The healthcare reimbursement
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Cityblock Health CEO Dr. Toyin Ajayi Releases Blueprint for AI in Medicaid
What You Should Know
The Manifesto: Dr. Toyin Ajayi, CEO of Cityblock Health, has published a comprehensive report, “Medicaid + AI: A New Standard for Innovation,” arguing that the nation's most vulnerable patient population must be the proving ground for generative AI.The Investment Disconnect: Currently, roughly 60% of healthcare AI investment is directed toward revenue cycle management, billing optimization, and risk adjustment. Conversely, less than 20% of health plans use AI to develop
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AI Didn’t Fix HCC Coding—It Made It Harder. This is How to Fix It
Hierarchical Condition Category (HCC) coding is one of the areas in healthcare where AI is the obvious solution. On paper, it makes perfect sense. Use it to scan charts, identify diagnoses, group them into risk categories, and more efficiently predict future healthcare costs. In Medicare Advantage and value-based care, where risk adjustment directly impacts reimbursement, it sounds like a natural fit. But reality tells a very different story.
If you want to understand what is actually
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Your Health Deploys Fathom Autonomous Medical Coding Platform Across All Service Lines
What You Should Know
The Deployment: Your Health, a rapidly growing senior-focused primary and specialty care organization, has deployed Fathom’s autonomous medical coding platform across its entire operation (spanning 14 physician offices, 278 assisted living facilities, 11 nursing homes, and telehealth).The Automation Scale: Since going live in October 2025, Fathom has achieved a staggering 95.5% encounter-level automation rate—meaning AI is completely handling the coding for the vast
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Mount Sinai Health System to Deploy Midstream Health’s AI-Powered Financial Platform
What You Should Know
The Collaboration: The Mount Sinai Health System has announced a strategic collaboration with Midstream Health, an AI-powered financial action platform backed by a16z and CommonSpirit Ventures.The Initial Deployment: Mount Sinai is first deploying the AI platform specifically within its supply chain system. The health system spends "well in excess of $1 billion a year" on supplies, equipment, and services.The Core Problem: Large healthcare organizations suffer from
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M&A: Knowtion Health Acquires revly to Expand Intelligent Reimbursement and Claims Routing Solutions
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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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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