How to optimize the revenue cycle workforce in 2026
In 2026, revenue cycle performance is inseparable from workforce design. Health systems are navigating sustained margin pressure, rising patient cost responsibility and escalating payer complexity — all while competing for limited domestic talent. Recent Kaufman Hall National Hospital Flash Reports continue to show margin volatility across U.S. hospitals, with labor costs and payer-related delays remaining…
From back office to balance sheet: Why revenue cycle is becoming strategic AI infrastructure
Healthcare finance leaders are confronting a new reality: Revenue cycle performance now directly influences organizational stability, capital planning and access to care. Rising denial rates, expanding prior authorization requirements and persistent staffing constraints have transformed revenue operations from a transactional function into a strategic enterprise capability. Recent reporting from Kaufman Hall shows denials and revenue…
Why AI is such a promising tool for eliminating a hospital’s revenue leakage
Hospitals today continue to experience revenue leakage, defined as the unintentional loss of income due to inefficiencies, missed billing opportunities and underpayments. Despite their significant investment in electronic health records (EHRs) and billing systems, they continue to lose about 3% to 5% of net revenue annually, amounting to tens of billions of dollars across the…
AI coding at UMass Memorial tempers staffing shortage
UMass Memorial Medical Center’s radiology department has been able to sidestep a lack of bill coding professionals by adopting AI in the medical center’s coding for radiology. “It’s really hard to get certified coders these days,” said Barbara Scully, associate vice president, physician billing with UMass Memorial, which is located in Worcester, Massachusetts. “It’s one…