Drive strategic growth with smarter workforce planning
While enterprise resource planning (ERP) systems serve as the backbone for organizational operations, managing transactional and finance-centric processes, human capital management (HCM) systems focus on the employee lifecycle, helping to build trust, boost productivity and empower talent.
Gen AI is coming for medical bills; 3 ways to prepare
Patients are behind one of the latest applications of AI to the healthcare revenue cycle, and they are using it to review their bills. Stories of consumers using ChatGPT or other generative AI tools to trim thousands from their medical bills by questioning charges are appearing in the news and social media. YahooFinance wrote about…
Healthcare providers seek solutions for growing patient financial burden
According to an HFMA survey conducted on behalf of PayZen, 76% of patient bills are going uncollected. Providers are concerned the number of uninsured patients will increase due to regulatory shifts causing loss of Medicaid coverage. Learn more in this discussion about emerging solutions and strategies.
Healthcare Finance Trends for 2026
Download this trends report to get insight on several major themes across four business sectors. The data spotlights both the efficacy of actionable solutions such as RCM automation and the accelerating new opportunities driven by AI, digital payments and same-day transactions.
AI Adoption in denials management lags as other RCM uses expand
Denials management, one of the toughest tasks in hospital revenue cycle management (RCM) deserves more attention from AI experts, but RCM execs are not diving in with AI solutions for multiple reasons. About one in five healthcare providers apply AI to denials management, a 2025 Bain & Co. survey found. Instead, providers have turned more…
News Briefs: White House healthcare plan would have major implications for the industry
President Donald Trump announced a healthcare framework aimed at boosting transparency, consumer choice and affordability, although numerous details still need to be decided before Congress can act on the proposals. The plan’s Jan. 15 release came as Senate talks to renew the expired ACA subsidies stalled amid disputes over abortion coverage and concerns about cost.…
James Mathews: U.S. nursing homes face stormy waters amid staffing challenges and an aging population
Readers of a certain age may recall Sebastian Junger’s book A Perfect Storm, which describes the last voyage of the Andrea Gail, a Massachusetts swordfishing boat. In October 1991, the boat encountered a violent storm in the North Atlantic Ocean and was lost with all hands. The storm was borne of three converging meteorological conditions: the remains of Hurricane Grace,…
Nathan Kaufman: Hospital-based anesthesia and radiology operate in a broken financial model
The good ol’ days of hospital-based physicians providing services at no cost in exchange for exclusivity are over, creating significant disruptions. Health systems are facing a growing shortage of anesthesiologists and radiologists, a shortfall that is driven by a broken business model for those types of services. Underpayment for anesthesia and radiology care by Medicare and Medicaid combined with a lack of experience in related revenue cycle management and high…
The power of connection: Redefining healthcare collaboration through payer-provider interoperability
By leaning into a new era of payer-provider interoperability through technology investments and collaborative innovation and communication, healthcare organizations can strengthen health outcomes while building better relationships with consumers. Learn more about critical elements for success in this white paper.
Hospital use and service intensity helped fuel healthcare spending growth in 2024
Increasing use and intensity of hospital care, physician and clinical services, and retail prescription drugs led a continued surge in U.S. healthcare spending in 2024, according to newly released data. National health expenditures (NHE) reached $5.3 trillion, a 7.2% increase year-over-year and comparable with the 7.4% jump recorded in 2023. Except for the pandemic year…