What You Should Know:
- Oracle Health has unveiled a new strategy to strengthen the collaboration between healthcare providers and payers.
- The company plans to introduce a comprehensive suite of AI-powered apps and agents designed to automate prior authorizations, reduce claims denials, and improve care coordination. These solutions aim to significantly cut down on administrative costs, which are estimated at approximately $200B annually, and enhance value-based care
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
M&A: Cohere Health Acquires ZignaAI to Transform Payment Integrity
What You Should Know:
- Cohere Health, a leader in clinical intelligence solutions, has acquired ZignaAI and launched a new Payment Integrity (PI) Suite, which is anchored by Cohere Validate™. Financial details of the acquisition were not disclosed.
- Cohere Health’s approach is designed to provide transparency, accuracy, and control to claims payments through clinical intelligence. The new solution is already delivering faster payments, 30% efficiency gains, and 8-9x ROI to health
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Ransomware in RCM: Why Your Billing System Is an Overlooked Cybersecurity Risk
When a major healthcare payment processor was hit by a ransomware attack in early 2024, medical practices across the country were thrown into chaos. Routine billing processes, like eligibility checks, claims submissions, and payments, all ground to a halt. Some providers waited weeks to get paid. Others struggled to reassure anxious patients amid financial uncertainty. For small and midsize practices, the disruption wasn’t just inconvenient; it was existential.
The incident exposed an
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Phreesia to Acquire AccessOne for $160M to Expand Healthcare Payment Solutions
What You Should Know:
- Phreesia, Inc., a company specializing in patient activation, has entered into a definitive agreement to acquire AccessOne Parent Holdings, Inc., a portfolio company of Frontier Growth.
- The all-cash transaction is valued at $160M and is expected to close in the third or early fourth quarter of Phreesia’s 2026 fiscal year.
AccessOne Background
AccessOne is a market leader in providing financing solutions for healthcare receivables, working
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AI and RCM Leader XiFin Receives New Investment, Appoints Jeff Margolis to Board
What You Should Know:
- XiFin, a leader in revenue cycle management (RCM) and billing solutions enhanced with embedded artificial intelligence (AI), today announced a new growth capital investment, as well as the addition of health IT innovator and futurist Jeff Margolis to its Board of Directors.
- The funding round builds on XiFin’s 19% year-over-year growth, driven by client adoption of its flagship next-gen platform, XiFin® Empower, and successful execution of compelling business
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Inovalon and Google Cloud Partner to Launch AI-Enabled Prior Authorization Solution
What You Should Know:
- Inovalon, a provider of solutions that empower data-driven healthcare, has announced a new collaboration with Google Cloud to develop an AI-enabled solution designed to address administrative burdens in the healthcare industry.
- The partnership will combine Inovalon’s extensive data solutions and subject matter expertise with Google Cloud's advanced AI and machine learning capabilities to tackle time-consuming prior authorization processes.
A Vision for
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HGM Limited Acquires Aidéo Technologies to Expand AI-Driven RCM Platform
What You Should Know:
- HGM Limited, a global technology-driven enterprise focused on building AI-driven healthcare services, has announced that its wholly-owned U.S. subsidiary, Healthcare Capital Holdings LLC (HCH), has entered into a definitive agreement to acquire Aidéo Technologies LLC.
- HGM Limited, through its U.S. subsidiary, will acquire 100% of Aidéo Technologies LLC through an equity transaction. The acquisition is expected to close in August, subject to customary
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ZeOmega Partners With Datycs to Optimize Prior Authorization
What You Should Know:
-ZeOmega®, the leading population health management organization, today announced its partnership with Datycs, a leading provider of clinical AI/Natural Language Processing (NLP) solutions, to automate converting unstructured data from faxed documents into standardized, interoperable, and actionable information.
- The collaboration will help health plans garner insights that will drive improvements in member care, provider and payer workflows, and overall
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Innovaccer Launches AI-Powered Prior Authorization Solution: Flow Auth
What You Should Know:
- Innovaccer Inc., a healthcare AI company launches Flow Auth, a new AI-powered prior authorization solution.
- As part of the company's revenue cycle performance platform, Flow by Innovaccer, Flow Auth is designed to automate the entire prior authorization (PA) workflow, helping healthcare organizations accelerate care delivery and optimize revenue capture.
- Innovaccer projects that the solution could lead to a 50% reduction in the time clinicians
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Arintra Raises $21M to Expand Beyond Autonomous Medical Coding
What You Should Know:
- Arintra, a provider of GenAI-native autonomous medical coding, has announced a $21M Series A funding round led by Peak XV Partners, with participation from Endeavor Health Ventures, Y Combinator, and other strategic investors.
- The funding will be used to accelerate product development, grow the team, and establish a new headquarters in the Bay Area to meet rising demand.
Redefining Medical Coding with Revenue Assurance
Healthcare
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