New & Notable
AHA: Hospitals spent $43B chasing pay from denials, prior auths
Hospitals are spending precious resources on administrative burdens as expenses continue to rise significantly, the AHA reports.
Agentic AI powers revenue cycle technology news at HIMSS26
A common theme at HIMSS26 is using agentic AI to coordinate tasks across the revenue cycle, pushing a more autonomous state of management.
As financial standing improves, physicians worry about sustaining it
Most physicians are confident in their practice's financial footing, but those in independent practice still have an overwhelming fear of losing that status as financial pressures mount.
Hospital price transparency cuts costs, but limitations signal more work
A new study links hospital price transparency to lower cancer care costs, but merely posting machine-readable files will not cut it as efforts to disclose prices move forward.
GOP’s ‘Big Beautiful Bill’ erases 12 years of solvency for Medicare trust fund: CBO
— Healthcare DiveSponsored Sites
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Risk Adjustment Compliance
RAAPID
RAAPID develops AI-powered risk adjustment solutions for healthcare payers, providers, and supporting organizations. The company's HITRUST-certified platform uses Neuro-Symbolic AI to identify chronic conditions, determine HCC codes, and provide explainable documentation for complete audit defense. Backed by M12 (Microsoft's venture fund), RAAPID serves organizations participating in Medicare Advantage, ACA, Medicare ACO, and Medicaid programs with both retrospective and prospective risk capture capabilities. Founded by healthcare technology veterans with over 20 years of experience, RAAPID is headquartered in Louisville, Kentucky.
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Autonomous Coding
Solventum
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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.
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.
View All Episodes
Latest News
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AHA: Hospitals spent $43B chasing pay from denials, prior auths
Hospitals are spending precious resources on administrative burdens as expenses continue to rise significantly, the AHA reports.
-
Agentic AI powers revenue cycle technology news at HIMSS26
A common theme at HIMSS26 is using agentic AI to coordinate tasks across the revenue cycle, pushing a more autonomous state of management.
-
As financial standing improves, physicians worry about sustaining it
Most physicians are confident in their practice's financial footing, but those in independent practice still have an overwhelming fear of losing that status as financial pressures mount.
-
Hospital price transparency cuts costs, but limitations signal more work
A new study links hospital price transparency to lower cancer care costs, but merely posting machine-readable files will not cut it as efforts to disclose prices move forward.
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New report shows NSA is working. So, why are payers, providers still mad?
A new report suggests greater in-network participation since the No Surprises Act, but more work needs to be done to iron out the law's wrinkles for major stakeholders.
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HHS revives 340B rebate model idea, seeks industry feedback
HHS is seeking industry feedback on implementing a 340B rebate model after it scrapped a similar pilot earlier this month.
Features
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Agentic AI evolution begins to pave way for autonomous revenue cycle
A fully automated revenue cycle in which staff work hand-in-hand with AI is looming, but success will require a mature AI strategy.
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How NGHS balances revenue cycle AI adoption, ROI
Northeast Georgia Health System is accelerating AI adoption, especially in revenue cycle management, but leaders have learned to balance speed of innovation with ongoing ROI.
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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.