New & Notable
Half of providers report revenue losses from credentialing delays
Credentialing delays are costing some hospitals over $1M annually as provider organizations face workforce challenges and manual processes.
No Surprises disputes increasing even as arbiters catch up, CMS says
The agency released new data on independent dispute resolution in the first half of 2025. Roughly 1.2 million cases were filed in that period, mostly by the same private equity-backed providers.
— Healthcare Dive
Trinity Health to lay off 10.5% of revenue cycle headcount
The Michigan-based health system said financial headwinds, including heightened costs, low reimbursement and federal policy changes, motivated the cuts.
— Healthcare Dive
R1 adds prior authorization solution to new revenue cycle OS
R1 announced a new prior authorization solution as part of the Phare OS that seek to automate and scale the process for faster decisions with minimal human touch.
Sponsored Sites
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
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Autonomous Coding
Solventum
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Financial Responsibility
CareCredit
We do something very simple at CareCredit: We help people get the care they want for themselves and their families.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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R1 adds prior authorization solution to new revenue cycle OS
R1 announced a new prior authorization solution as part of the Phare OS that seek to automate and scale the process for faster decisions with minimal human touch.
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Healthcare leaders expect AI maturity this year, especially in RCM
A new report shows low AI maturity despite widespread adoption in the revenue cycle. Still, leaders expect to mature rapidly over the next year or two as they confront data constraints.
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U.S. healthcare spending reaches $5.3T as utilization rebounds
New CMS data shows another year of accelerated healthcare spending driven by increased utilization, particularly of hospital and physician care.
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Revenue cycle leaders set sights on improving patient experience
Improving patient experience surpassed increasing revenue for the first time, indicating a shift in revenue cycle strategy in 2026.
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Waystar adds agentic AI in move to 'autonomous' revenue cycle
The healthcare payment software vendor announced new agentic AI capabilities as part of its journey to make the revenue cycle autonomous.
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Benchmark prices under NSA far below actual median rates: Study
Qualifying payment amounts used under the No Surprises Act are, on average, a third of the payers' contracted in-network rates, according to a study.
Features
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2026: The year of uncertainty for healthcare financial leaders
Coming off a turbulent 2025, the new year raises questions about how change will impact financial operations; a renewed focus on affordability and AI may help leaders navigate 2026.
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Meet the 6 vendors participating in the CMS WISeR Model
The vendors selected to lead a new CMS model will apply their technologies leveraging AI to streamline the Medicare prior authorization process in six states.
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ACA enhanced tax credit fight exposes healthcare's funding crisis
Enhanced premium tax credits are at the center of the latest government shutdown, creating concerns for providers and exposing a history of patchwork solutions for a cracked system.
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Provider pay caught in the middle during government shutdown
The ongoing government shutdown will impact Medicare reimbursement, particularly for telehealth services, putting revenue cycle teams in a tight spot.