Submitting and paying claims is the financial underpinning of the U.S. healthcare system, a system plagued with inefficiencies that create disconnects between health plans and health systems. As a result, revenue cycles and claims systems are clogged, the patient and member experience is disrupted, care quality is suffering, and innovations in care delivery are constrained.
The solution? Modernization.
Modernizing the healthcare ecosystem reduces wasteful administrative
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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
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
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
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
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
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
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
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
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
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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