Category: Revenue Cycle Management

  • Annexus Health Raises $33M to Optimize Patient Access and Affordability

    What You Should Know: – Annexus Health, Inc. has announced its Series B financing of $33 million, which was led by leading digital health growth equity firm Transformation Capital. – The funding is set to advance Annexus Health’s mission to improve access to care and combat patient financial toxicity amid ever-rising healthcare costs Re-Imagining the […]

  • A Hybrid, Technology-Driven Approach to Overcome Coding and RCM Staff Shortages

    Cheryl Cruver, Chief Revenue Officer, AGS Health Exacerbated by pandemic-induced burnout, resignations, and even terminations1, chronic coding and revenue cycle management (RCM) staffing shortages have healthcare organizations struggling to find ways to keep revenue flowing despite a lack of qualified professionals to handle critical processes. It is a situation that has been brewing for years, […]

  • 5 things to look for when choosing a medical claims clearinghouse

    With millions of healthcare claims to process and millions of dollars at stake each month, getting claims right the first time is a top performance indicator for healthcare providers. The administrative burden is immense – there are more than a thousand different health payers, each with their own requirements, edits and software. Each claim must […]

  • Sutter Health Signs 10-Year Contract with R1 RCM for End-to-End RCM

    What You Should Know: – Sutter Health, a not-for-profit integrated health system that provides high-quality care across Northern California has signed a 10-year agreement with R1 RCM to serve as their exclusive provider of enterprise revenue cycle management services. – The parties believe that the partnership will help improve Sutter’s overall financial performance with an […]

  • Geisinger Taps Cohere Health to Streamline Prior Authorizations

    What You Should Know: – Today Geisinger Health Plan (GHP) and Cohere Health, a provider of utilization management (UM) technology, announced they are joining forces to streamline the prior authorization process for providers. – Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs, and lead the nation in aligning quality improvement initiatives across all its lines of […]

  • Olive Launches Autonomous Revenue Cycle (ARC) Suite

    What You Should Know: – Olive, the automation company creating the Internet of Healthcare, today launched its Autonomous Revenue Cycle (ARC), the company’s flagship Revenue Cycle Management (RCM) suite of solutions. – Olive’s ARC is designed to handle tedious, time-consuming administrative tasks in the revenue cycle, allowing healthcare organizations to get paid quicker while reducing the […]

  • Deep diving into a successful healthcare revenue cycle flowchart

    An efficient revenue cycle management (RCM) system is a win-win for patients and providers. Friction-free solutions that cover everything from booking appointments to paying bills create a more satisfying patient experience and allow patients to focus on their health. Providers can lower administrative costs and generate more revenue from data-driven billing and collections operations. To […]

  • Buried Under Dirt or Under Debt: Can Patients Survive the Struggle of Getting Care?

    Srulik Dvorsky, TailorMed CEO and Founder New patients at a cancer center in Michigan receive a 79-page handbook when their treatments commence. The handbook includes needed advice on what to eat and the side effects of chemotherapy drugs. One double-sided page features information about how to navigate the financial aspects of cancer treatment, including who […]

  • Olive Partners with Magenta to Revolutionize Risk Adjustment Process

    What You Should Know: – Olive, the automation company creating the Internet of Healthcare, today announced its partnership with Magenta Care Continuum, a HIPAA-compliant health records vault that includes care gap analytics. – Through the Olive Library, payers and providers can access Magenta’s solutions to help close care gaps, improve billing and claims occurrence and ensure compliance and […]

  • Polygon to Partner with MSP on Healthcare Blockchain Initiative

    What You Should Know: – Today, Polygon Networks, a leading blockchain and scaling solution, announced a partnership with Tokenology and MSP Recovery to deliver LifeChain – a new healthcare claims platform. – LifeChain will leverage blockchain technology to solve healthcare’s biggest problems, including fraud, inefficiency in payments and antiquated processes. Tokenize Healthcare Claims On-Chain LifeChain […]

  • Nearly 60% of Hospitals and Health Systems Have More Than 100 Job Vacancies

    What You Should Know: – More than 57 percent of health systems and hospitals have more than 100 open roles to fill across their operations, according to new AKASA survey where more than 400 healthcare finance leaders identified vacancies across their healthcare organizations and the revenue cycle. – The findings reveal how insufficient staffing is […]

  • ScionHealth Signs 10-Year End-to-End RCM Partnership with R1 RCM

    What You Should Know: – Today, R1 RCM, a leading provider of technology-driven revenue cycle management (RCM) solutions, is announcing a 10-year end-to-end partnership with ScionHealth, a new Louisville-based health system comprising nearly 80 hospitals, to provide exclusive enterprise RCM services to its long-term acute care hospitals. – ScionHealth joins healthcare systems including Ascension, Intermountain […]

  • Cerner & AKASA Partner on AI-Powered Revenue Cycle Automation

    What You Should Know: – Health IT leader Cerner and AI developer for healthcare operations AKASA announce a partnership to scale automation within the revenue cycle at hospitals and health systems using AI and machine learning. – The collaboration offers Cerner customers access to AKASA’s AI-based Unified Automation® platform which is purpose-built for healthcare. Growing […]

  • Luma Health & Change Healthcare Partner to Develop Solutions to Optimize Patient Journeys

    What You Should Know: – Luma Health, a digital health company streamlining patient-provider communications announced a strategic partnership with Change Healthcare, a healthcare technology company that provides the connection and data transfer between providers, payers, and consumers. – The two companies will develop solutions to meet health systems’ demand for streamlined and unified clinical, operational, […]

  • Fathom Receives Strategic Investment for Medical Coding Automation Platform

    What You Should Know: – Fathom, the first medical coding automation company to receive an investment from a national physician group, Inflect Health the innovation hub of Vituity and one of the largest physician-led provider groups in the United States.  – Fathom will also leverage Vituity’s expertise in the revenue cycle as it refines the Fathom […]

  • Enlyt Health Secures $10M to Expand Healthcare Digital Front Door

    Transform Patient Engagement with a Digital Front Door from Ryan Blachly on Vimeo. What You Should Know: – Enlyt Health, a St. Petersburg, FL-based low code platform for healthcare digital front door raises $10M in Series A funding led by Meritage Partners.  Enlyt Health has several well-known Health Systems already live on the platform providing […]

  • Kyruus and Upfront Partner to Maximize Digital Patient Acquisition and Retention

    What You Should Know: – Kyruus, a provider search and scheduling solutions for healthcare organizations, and Upfront, preeminent patient communication and engagement platform, today announced a new partnership to help healthcare organizations drive patient acquisition, activation, and retention. – The combination of both platforms allows healthcare organizations to create better digital experiences for their patients using Kyruus’ […]

  • 7 top healthcare revenue cycle challenges and how to overcome them

    Healthcare revenue cycle challenges exist at every stage of the patient journey, beginning with patient access and extending all the way through claims, billing, payment and collections. However, digital tools and analytics can help providers tackle their top healthcare revenue cycle challenges. “The complexity of our reimbursement structures and the complexity of billing mean a […]

  • Is Empathy The Key to Healthcare Collections in 2022?

    Jada Lewis, Director of Healthcare Product Management at Finvi As we enter into the third year of the global health emergency, the impact on healthcare continues to evolve. With the ever-changing landscape, comes an opportunity to reflect, learn, and adapt to the times. Throughout the pandemic, COVID-19’s impact on hospital entities has not been specific […]

  • Why patient experience matters to your revenue cycle

    Patient experience may not be the first consideration that comes to mind when you’re looking to improve revenue cycle management (RCM). However, a positive patient experience can benefit RCM. It can make the complicated process of understanding and managing healthcare finances simpler and more seamless for patients—and facilitate an easy-to-navigate continuum of care that includes […]

  • Revenue Cycle Management Company nThrive Rebrands as FinThrive

    What You Should Know: – Healthcare revenue cycle management platform provider nThrive today announced it has rebranded, FinThrive™, which will be formally launched through a pending rebrand.  The new name signals the Company’s intention to break the cycle of inefficiency associated with traditional RCM technologies, while designing a modern software approach that empowers stakeholders across healthcare’s […]

  • Health Plan Invests $100M to Introduce Real-Time Claims Payments for Providers

    What You Should Know: – CalOptima will be the first health plan to introduce ‘real-time claims payments’ permanently for providers as part of this historic $100+ million investment in the safety net in Southern California.  – Board also approves $100 million in technology to improve health care delivery and $8 million to launch a Street Medicine Program. CalOptima, a publicly funded health care coverage […]

  • DeliverHealth Acquires Revenue Cycle Company PresidioHealth

    What You Should Know: – DeliverHealth, a provider of technology-enabled solutions for hospitals, health systems, and group practices, today announced the acquisition of PresidioHealth, a healthcare technology and clinical intelligence company. Financial terms of the acquisition were not disclosed. – The acquisition enables DeliverHealth to further expand its software platform, thus improving coding quality and […]

  • HIMSS22 Day 2 Roundup: Google Partners with MEDITECH, Microsoft’s Health Cloud Strategy Expansions

    Mergers & Acquisitions (M&A) Activity OptimizeRx Acquires EvinceMed, a Specialty Drug Prescription Initiation Platform OptimizeRx, a provider of point-of-care technology solutions helping patients start and stay on therapy announced a definitive agreement to acquire the EvinceMed platform and related assets. EvinceMed is a provider in delivering end-to-end automation for specialty pharmaceutical transactions. The acquisition includes […]

  • How will rising inflation affect the healthcare revenue cycle?

    Inflation is giving the cost of healthcare a run for its money. The Consumer Price Index rose by 7.9% year-over-year in February 2022, compared to a rise of just 2.4% in the Health Care Price Index. However, slower price increases do not necessarily mean healthcare will get an easier ride than other businesses. Healthcare contracts […]

  • UPMC Invests in Kyruus’ Provider Match To Optimize Patient Access

    – UPMC, a Pittsburgh-based healthcare provider and insurer, announced it is expanding its strategic partnership with Kyruus to further optimize patient access.   – UPMC has been a Kyruus customer since 2019 and now will be directly investing in the company and collaborating on the future development of Kyruus’ ProviderMatch platform. Last year, UPMC expanded its relationship with Kyruus to […]

  • 6 strategies on how to increase outpatient revenue

    Clinical advances, consumer demand and payer pressure are driving growth in outpatient care, which continues to attract attention as a lower-risk, lower-cost revenue stream for healthcare providers. New technologies allow for less invasive procedures and quicker recovery times, so patients can avoid lengthy hospital stays – and the higher out-of-pocket costs that come with them. […]

  • Lynx Launches with $17.5M for API-Connected Healthcare Payments

    What You Should Know: – Lynx, a Boston-based API-connected healthcare payments, banking, and e-commerce platform announced today that it has emerged from stealth with $17.5M in equity financing led by Obvious Ventures and .406 Ventures with participation from Frist Cressey Ventures. Other investors include Winter Street Ventures (an investment subsidiary of Commonwealth Care Alliance), Shields Capital, […]

  • Revenue cycle management checklist: improve experience & profits

    Traditional revenue cycle management strategies are on shaky ground. Time-consuming manual processes are struggling under the burden of increasing patient volumes and patient financial responsibility. Clunky interfaces and disjointed systems fall short of evolving consumer expectations. Understanding and adapting to sweeping regulatory change is challenging for understaffed teams. On top of all of that, the […]

  • Reduce revenue loss with insurance Coverage Discovery

    US hospitals have provided more than $702 billion in uncompensated care over the last two decades. To protect profits, healthcare organizations must be vigilant about finding any available insurance coverage for their patient’s care. But for many, recent regulatory changes and pandemic-related disruption have made navigating an already complex reimbursement landscape even more challenging. Checking […]

  • 5 Trends Bringing Effective Intelligence into Revenue Cycle in 2022

    Matt Seefeld, Executive Vice President, MedEvolve 5 revenue cycle management trends that will drive adoption of automation, data-first processes, employee effectiveness and virtualization Many physician practices are facing a harsh reality as they enter 2022: The revenue cycle processes and technology that have traditionally produced an acceptable bottom line are no longer delivering.  Tectonic shifts […]

  • Recruitment Costs, Long Hiring Timelines Negatively Impact Healthcare Finance Teams

    What You Should Know: – AKAS, a developer of AI for healthcare operations, today released findings from a new survey highlighting the challenges hospitals and health systems are facing within the revenue cycle as the Great Resignation drives higher staff turnover, and skilled workers leave healthcare for higher-paying jobs in other industries like retail or […]

  • Clamping Down on Upcoding Risk: 3 Steps to Ensure Proper Payment & Compliance

     Ritesh Ramesh, Chief Operations Officer, Hayes A recent report from the HHS Office of the Inspector General (OIG) turned heads across the healthcare industry after pointing to a notable rise in inpatient hospital stays where upcoding was believed to be the culprit. Compliance professionals who have been in the healthcare industry any length of time know what’s next: targeted billing reviews […]

  • 3 Ways Real-Time ADT Notifications Will Benefit Payers’ Businesses

    Bevey Miner, Chief Marketing Officer, Consensus Cloud Solutions, Inc. Payers and providers share goals around emerging healthcare delivery models such as value-based care and accountable care organizations (ACOs). But inadequacies in current payer/provider communication often disrupt the flow of timely care and lead to unnecessary hospital readmissions and poor outcomes. What’s needed in this partnership […]

  • Revenue Cycle Management Can Help Advance The Cybersecurity Mandate

    David King, CTO at Flywire John Talaga, EVP & GM, Healthcare at Flywire Holding steady in the No. 1 spot, the healthcare industry has held the top rank in IBM’s Cost of Data Breach report for the past 11 years. It’s a lead that seems secure. In just a year from 2020-2021, the average total […]

  • R1 Acquires Revenue Cycle Company Cloudmed for $4.1B

    What You Should Know: – R1, a leading provider of technology-driven solutions that reduce friction in healthcare, has just acquired CloudMed, a leader in Revenue Intelligence™ for healthcare providers in a $4.1B cash deal. – Upon closing of the transaction, current R1 shareholders will own approximately 70% of the combined company on a fully diluted […]

  • What Are Digital Wallets and What Do They Mean for Healthcare?

    Curtis Bauer, Chief Product Officer, Sphere Digital wallets are a payment option that continues to gain traction among consumers due to their simplicity and ease. Many providers, however, may be unfamiliar with the technology and how it can benefit their practices and patients.  At the most basic level, a digital wallet is a digital, mobile […]

  • 5 questions to ask about accounts receivable work queues

    To help revenue cycle leaders shortcut reporting efforts and ultimately collect more dollars, the following are five questions they should ask about their account receivables worklists to identify opportunities for performance improvement.

  • AccessOne Acquires CueSquared to Address Patient Financial Experience

    What You Should Know: – AccessOne acquires one-touch mobile payment platform CueSquared. The acquisition adds mobile billing and payment product to existing patient financing offerings, extending AccessOne solution portfolio to address the overall patient financial experience. AccessOne, a leading provider of inclusive Care Now, Pay Later patient financing solutions that help all consumers manage their healthcare […]

  • Complex Claims Vendor Argos Health Merges with EnableComp

    What You Should Know: – Argos Health (“Argos”), a rapidly growing provider of complex claims solutions to the country’s leading healthcare providers announced today it has merged with EnableComp. Argos Health is. – Argos works with hospitals, health systems, and physician groups to increase revenue recovery across workers’ compensation, motor vehicle accident, out-of-state Medicaid, and […]

  • Health Systems Cite Telehealth as Top Tool to Improve Patient Access in 2022

    What You Should Know: – Improving patient access to medical services is a top priority for health system leaders in 2022, according to new research from the Center for Connected Medicine (CCM) and KLAS Research. – According to new research, patient access was identified by health system leaders as the challenge in healthcare that can […]

  • Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

    Russ Graney, CEO and founder of Aidin Medicare’s annual enrollment period has started, and you know what that means: a slew of commercials suddenly appearing on television for Medicare Advantage plans. The advertising appears to be working. Enrollment in Medicare Advantage has more than doubled over the past decade to more than 26 million people […]

  • 4 Key Barriers to Prevent Surprise Medical Bills

    What You Should Know: A new AKASA survey highlight the challenges hospitals and health systems face when trying to prevent surprise medical bills.  AKASA™, the developer of AI for healthcare operations, today released findings from a new survey highlighting the challenges hospitals and health systems face when trying to prevent surprise medical bills.  Commissioned by […]

  • Ochsner Health Selects Kyruus to Simplify Patient Access Across Enterprise

    What You Should Know: – Ochsner Health in Louisiana, is simplifying patient access to care with Kyruus’ provider directory and enhanced search capabilities. – Patients seeking care online will now have access to rich, up-to-date information on more than 3,000 providers.   Kyruus, a provider search and scheduling solutions for health systems, today announced that Ochsner […]

  • Cedar, athenahealth Partner to Bring Personalized, Digital-First Financial Experience to Patients

    What You Should Know: Marketplace inclusion of Cedar Pay enables athenahealth clients to enhance their patient financial engagement capabilities, optimizing patient interactions and boosting operational efficiency. Cedar, an NYC-based healthcare financial technology platform, today announced a partnership with athenahealth, Inc. through the company’s Marketplace program. As part of the athenahealth® Marketplace, Cedar Pay is now […]

  • Rethinking Patient Access: 4 Key Action for Health Systems

    Erin Jospe, MD, Chief Medical Officer at Kyruus As we learn to equilibrate with COVID-19, we are collectively learning how to modulate our acceptance of risk in order to re-emerge and engage with the world around us. It has at times over the course of the pandemic been a necessary choice, oftentimes in the name […]

  • Israeli Startup TailorMed Acquires Vivor to Create Provider and Pharmacy Network

    What You Should Know: –  Financial navigation technology company TailorMed acquires Vivor to create the largest provider and pharmacy network. – The combined companies will offer the most comprehensive solution for addressing unprecedented financial pressures on patients and healthcare organizations. Israeli startup TailorMed, a leading financial navigation technology company that helps healthcare organizations and patients remove […]

  • Healthcare Financial Assistance Transactions Increases by 55%, TransUnion Healthcare Survey Reveals

    What You Should Know: – The number of financial assistance transactions processed by TransUnion Healthcare increased 55% between September 2020 and September 2021, according to a new analysis from TransUnion Healthcare released at the HFMA Annual Conference indicates hospitals are more proactively working with patients to understand their financial needs and provide appropriate options. – […]

  • Notable Secures $100M to Expand Intelligent Automation in Healthcare

    What You Should Know: – Notable, a San Mateo, CA-based leader in healthcare intelligent automation, today announced it has raised $100M in Series B funding led by ICONIQ Growth, including participation by Greylock, F-Prime Capital, and Oak HC/FT to accelerate growth and innovation within the healthcare industry.  – The company plans to use the new round […]

  • Q+A: how providers are using data and automation to optimize healthcare collections in 2022

    A little over a year ago, Experian Health surveyed healthcare providers for a snapshot of their views on the digitalization of patient access, and the importance of healthcare collections. At the start of the COVID-19 pandemic, patient collections emerged as a top priority, the result of rising unemployment and competing consumer demands that impeded patients’ […]

  • Expert Q+A: how to optimize patient collections in 2022

    A little over a year ago, Experian Health surveyed healthcare providers for a snapshot of their views on the digitalization of patient access, and the importance of healthcare collections. At the start of the COVID-19 pandemic, patient collections emerged as a top priority, the result of rising unemployment and competing consumer demands that impeded patients’ […]

  • Is the Smartphone Key to Unlocking Frictionless Patient Registration?

    Daniel Cidon, CTO, NextGate Since the beginning of healthcare’s digital revolution, organizations have been striving to achieve the Triple Aim of healthcare: better outcomes, lower costs, and improved patient experiences.   While reimbursement reforms and regulatory actions have helped realize measurable gains in population health and overall spending, progress on the patient experience piece hasn’t always […]

  • Anomaly Secures $17M to Expand Precision Payment Platform to Improve Payment Accuracy

    What You Should Know: – Anomaly, a precision payments platform using artificial intelligence (AI) to improve payment accuracy in the healthcare industry, today announced $17M in series A and seed funding. The series A was led by RRE Ventures and included participation from Link Ventures and existing investors Madrona Venture Group, Declaration Partners, and Redesign […]

  • Rev Cycle Company Ensemble Health Partners Files to Go Public

    What You Should Know:  – Ensemble Health Partners, Inc. (“Ensemble”), a provider of healthcare revenue cycle management solutions for hospitals and affiliated physician groups, announced it has filed to raise $649M for its initial public offering (IPO), at a valuation of $1.2B.  – Ensemble is offering 29,500,000 shares of its Class A common stock at […]

  • Cohere Health, Humana Expand Partnership to Transform Prior Authorization Process

    What You Should Know:  – Cohere Health announced that Humana Inc. is embarking on a nationwide expansion of Cohere’s digital prior authorization platform for musculoskeletal (MSK) services, based on the success of its initial implementation.  – After rolling out the platform across 12 states in January 2021, Humana has made significant progress toward achieving its […]

  • Cerner Launches RevElate Patient Accounting for Rev Cycle Portfolio

    What You Should Know: – Today Cerner announced the launch of Cerner RevElate™, the company’s go-forward patient accounting product that will bring new and enhanced capabilities to the Cerner® revenue cycle management portfolio.  – Cerner RevElate is expected to preserve and advance the clinically driven capabilities of Cerner Millennium® while adding scalable, enterprise capabilities of Soarian® Patient Accounting software. Revenue cycle continues to be one of Cerner’s […]

  • RCM: The Art of Compassionate Billing—and Why You Should Put Patients First

    Florian Otto Co-founder and CEO, Cedar A woman is charged $22,000 for stitches and scar repair after being bitten by a dog. A man gets hit with a $30,000 bill for ACL reconstruction surgery. People around the country receive Covid-19 test bills ranging from a few dollars to more than $1,000—and to make things worse, […]

  • 8 Key Healthcare Revenue Cycle Benchmarks to Increase Productivity

    What You Should Know: – AKASA™, an automation company for healthcare revenue cycle management,  released a report titled, “New Productivity Benchmarks For The Healthcare Revenue Cycle” that includes the first-ever publication of the average time it takes health system staff to complete critical tasks within revenue cycle operations based on AKASA’s proprietary data. – These […]

  • Healthcare Automation Most Urgent Need to Improve Patient Care, Report Finds

    What You Should Know: Half of the healthcare administrative staff report seeing an increase in the amount of manual data entry in the past 12 months — and 92% of clinicians agree that too much time spent on administrative tasks is a major contributor to healthcare worker burnout. This and other findings are revealed in […]

  • Edifecs Acquires Talix to Expand Risk Adjustment Solution

    What You Should Know: – Edifecs, a global health IT provider announced it is acquiring Talix, a SaaS IT company, to expand Edifecs’ reach in the encounter management and risk adjustment space. Financial details of the acquisition were not disclosed. – The integration of Edifecs’ and Talix’s technologies will create an expanded risk adjustment solution […]

  • Zelis Acquires Healthcare Transparency Leader Sapphire Digital

    What You Should Know: – Bain-backed digital health payments company, Zelis today announced the acquisition of Sapphire Digital, a healthcare consumer-centered pricing and navigation software company serving more than 100M members. Financial details of the acquisition were not disclosed. – Sapphire’s platform offers tools for provider search and selection, quality ratings and reviews, pricing data, […]

  • How tech can help solve the overpayments problem in healthcare RCM

    When CMS overpays for services, providers and commercial payers are responsible for paying the agency back, and at times, they are on the hook for millions of dollars. But technology can help healthcare stakeholders catch the mistakes that lead to overpayments, thereby reducing unnecessary costs.

  • TransUnion Explores Sale of TransUnion Healthcare, Sources Say

    What You Should Know: – Credit reporting agency TransUnion is currently evaluating the sale of its revenue cycle management subsidiary, TransUnion Healthcare, PE Hub first reports. – Sources report TransUnion Healthcare at an initial valuation of $1.9B to $2.2B with approximately $100M of earnings before interest, taxes, depreciation, and amortization (EBITDA). – TransUnion Healthcare makes […]

  • Cooper University, Nuance Expand Dragon Ambient eXperience Deployment to 475 Physicians

    What You Should Know: – Nuance Communications and Cooper University Health Care announced a strategic collaboration to expand Cooper’s deployment of the Nuance Dragon Ambient Experience (DAX) to 475 physicians based on previous deployment success. This ambient clinical intelligence solution will expand upon Cooper’s ability to enhance patient experiences, expand access to care, and advance […]

  • Olive Launches In-House Venture Studio for Digital Health Startups

    Olive Launches In-House Venture Studio for Digital Health Startups What You Should Know:  – Olive, the $4B healthcare automation company, today announced Olive Ventures, a new in-house venture studio that works hand-in-hand with early-stage entrepreneurs to create digital health companies through Olive’s platform.  – Olive Ventures offers visionaries a secure, compliant tech environment (i.e. Olive’s […]

  • Delta Variant Raises New Uncertainties for Hospitals Nationwide

    What You Should Know: – In May, U.S. hospitals, health systems, and physician groups were beginning to recover from COVID-19’s impact on their operations, but the dramatic spread of the Delta variant and an increase in COVID-19 cases and hospitalizations caused new setbacks, according to two reports from Kaufman Hall. – Hospitals and health systems […]

  • How Built-In Financial Services Can Help Healthcare Providers Rebound Post-Pandemic

    Tarun Bhasin, CEO of Kunai While their staff grappled with the medical toll of the COVID-19 pandemic, healthcare provider’s financial struggles went largely uncovered. But a 2021 KaufmanHall report revealed that hospital operating margins lag well behind pre-outbreak levels—a gap even the CARES Act assistance couldn’t help bridge. To make matters worse, cash flow has […]

  • Provider Adoption of Automated Revenue Cycle Operations On The Rise

    What You Should Know: – 78 percent of health systems are currently using or are in the process of implementing automation in their revenue cycle operations, according to recent survey results from AKASA, a South San Francisco-based revenue cycle management automation company. The key findings signal automation in healthcare is no longer an emerging trend […]

  • M&A: AmerisourceBergen Acquires Fintech Solution FirstView Financial

    What You Should Know: – Today, global healthcare company AmerisourceBergen announced it has acquired FirstView Financial (FirstView), a fintech solutions provider that delivers innovative digital payment processing services to support patient affordability and access programs, pharmacy and provider networks, and payors and plan administrators. – The addition of FirstView to AmerisourceBergen’s existing suite of manufacturer […]

  • Streamline Health Acquires RCM Consulting Firm Avelead for $20M

    What You Should Know: – Streamline Health Solutions, Inc., a provider of the eValuator Revenue Integrity Program to help healthcare providers proactively address revenue leakage and compliance exposure, announced the acquisition of Avelead Consulting, LLC (“Avelead”), a provider of solutions and services to improve revenue integrity for healthcare providers. – Financial terms of the acquisition include closing cash and […]

  • Olive Selects AWS as Its Preferred Cloud Provider to Create the Internet of Healthcare

    What You Should Know: – Olive, the AI healthcare company, announced today the adoption of Amazon Web Services, Inc. (AWS) as its preferred cloud provider, now leveraging AWS’s computing capabilities to improve healthcare efficiency and reduce costs for patients and organizations. – Olive’s workflow automation solution will run on AWS to connect the disparate systems […]

  • Kareo Acquires RPA-Powered Medical Billing Provider PatientlySpeaking

    What You Should Know: – Kareo, a provider of cloud-based clinical and business management software solutions for independent healthcare practices and billing companies, today announced the acquisition of PatientlySpeaking, a process automation technology company for billing companies and medical practices. – Together with Kareo’s intuitive billing platform, PatientlySpeaking provides an integrated data connection for billing […]

  • Olive Enters Clearinghouse Market with Acquisition of Healthcare IP

    What You Should Know: – Olive, a healthcare automation company today announced the acquisition of Healthcare IP, an integrated partner of healthcare provider and payer organizations, advocating data transparency and user experience in the revenue cycle. Financial details of the acquisition were not disclosed. – Healthcare IP is a clearinghouse that has been streamlining payment […]

  • Tegria, Cedar Partner to Humanize the Patient Financial Experience

    What You Should Know: – Tegria, a Seattle-based healthcare technology, and services company, and Cedar, a New York City-based healthcare financial technology platform, announced the formation of a strategic partnership. The partnership will bring Cedar’s consumer-facing financial engagement platform to Tegria customers and deliver Tegria’s robust revenue cycle management expertise to Cedar’s extensive client base, […]

  • Relatient Merges with Patient Access Platform Radix Health, Raises $100M+

    Anup Lakare co-founder of Radix Health, Michele Perry CEO of Relatient and Arun Mohan co-founder and CEO of Radix Health (L to R) – Today, Relatient, Inc., the leading SaaS-based, patient engagement platform, announced the signing of a definitive agreement to merge with Radix Health, a data-driven platform that helps medical practices and hospital groups optimize […]

  • Cedar Appoints Krishna Rao as Chief Financial Officer

    What You Should Know: – Cedar, a New York City-based innovative healthcare financial technology platform, announced it has named Krishna Rao as Cedar’s first Chief Financial Officer (CFO). – Rao brings over 15 years of experience growing businesses, most recently serving as Global Head of Corporate and Business Development for Airbnb. In this role, he […]

  • 3M Taps Waystar to Automate Revenue Capture Processes for its Clients

    What You Should Know: – Healthcare payments company Waystar, today announced a partnership with 3M Health Information Systems to help 3M clients improve their payment operations. – As part of the strategic partnership, 3M will leverage Waystar’s AI-powered solutions that will allow providers, health systems, and hospitals to improve operational efficiency and compliance and collect […]

  • VisiQuate Lands $50M to Expand AI-Powered RCM Automation Solution

    What You Should Know: – VisiQuate, Inc., a Santa Rosa, CA-based provider of advanced analytics and AI-powered automation today announced a new $50 million equity investment from Sixth Street Growth. – Founded in 2009, VisiQuate, Inc.’s user-friendly data management and analytics solutions let virtually anyone in a healthcare organization explore complex data from multiple sources to […]

  • XFIN Acquires Radiology Revenue Cycle Provider CMS – Health M&A

    What You Should Know: – Health IT company XIFIN announced the acquisition of Computerized Management Services (CMS), a provider of comprehensive revenue management services for hospital-based radiology groups and imaging centers. CMS provides a comprehensive suite of outsourced financial services focused on maximizing radiology client revenue and cash flow streams. Its services leverage strong technology systems and analytics, including revenue cycle, strategic consulting, credentialing and coding.  – This […]

  • Olive Secures $400M At A $4B Valuation to Support New Instant Claim Payment Solution

    What You Should Know: – Today, healthcare automation company Olive, today announced a $400M in funding round led by Vista Equity Partners with additional investment from the Base10 Partners Advancement Initiative. Olive, a provider of AI powered workforce purpose-built for healthcare, has now secured $832 million in financing since March 2020, and $902 million since […]

  • Iodine Acquires Clinical Documentation Solution ChartWise – Health M&A

    What You Should Know: – Iodine Software, a healthcare AI company, today announced it has acquired clinical documentation integrity company ChartWise Medical Systems. Financial details of the acquisition were not disclosed. – The acquisition comes just two weeks after Iodine completed an acquisition of Artifact Health, a mobile-based physician query platform that was in 300+ hospitals. Now, after both acquisitions, Iodine will […]

  • Bassett Healthcare Network outsources IT, RCM operations to Optum

    The New York-based rural health system has entered into a collaboration to outsource its IT and revenue cycle management operations to Optum. Further, about 500 Bassett employees, who currently perform those functions, will be given the opportunity to transition to Optum.

  • Olive, ASUS Partner to Bring AI-Assisted Medical Coding to 775+ Hospitals

    What You Should Know: – Olive and ASUS announced their partnership to bring AI-assisted medical coding to over 775 U.S. hospitals. Olive will bring ASUS Miraico, the AI medical coding assistant, to healthcare providers via the Olive Helps platform. – The addition of Miraico to the Olive Helps system will allow the AI to analyze clinical terms in medical records and automatically recommend relevant and accurate ICD-10 codes. This partnership will provide much faster and more accurate medical coding, as well as […]

  • Iodine Software Acquires Physician Query Platform Artifact Health – Health M&A

    What You Should Know: – Iodine Software, a leading healthcare AI company, today announced it has acquired physician engagement platform company Artifact Health. Financial details of the acquisition were not disclosed. – The acquisition brings together two industry leaders and expands Iodine’s clinical predictions and insights platform beyond clinical documentation improvement (CDI) teams to directly engage […]

  • Mednax Taps R1 for Enterprise Revenue Cycle Management Services

    What You Should Know: – R1 RCM Inc., a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers, and Mednax, Inc., a national medical group specializing in prenatal, neonatal and pediatric services, have entered into an agreement that will make R1 the primary provider of enterprise revenue cycle […]

  • Cedar Acquires OODA Health for $425M to Power Healthcare Financial Tech Platform

    Cedar Acquires OODA Health for $425M What You Should Know: – Cedar, a healthcare financial technology platform, today announced it has entered into a definitive agreement to acquire OODA Health, a healthcare technology company focused on improving the healthcare administrative experience with payers and providers, for $425M. – By bringing together providers and payers onto […]

  • TriHealth Taps Olive to Deploy On-Site AI Command Center Across Enterprise

    What We Should Know: – Olive and TriHealth announced their partnership to deploy Olive’s on-site AI command center, the AlphaSite, across TriHealth’s enterprise. The AI investment will begin with automating revenue-cycle related tasks, such as claims status checks while delivering increased ROI to the TriHealth network.  –  The AlphaSite program — the creation of an on-site AI command center — allows Olive to take a 360-degree approach to transform the entire healthcare […]

  • The Future of Revenue Integrity: From Reactive to Predictive – RCM

    Vasilios Nassiopoulos, Vice President of Platform Strategy and Innovation, Hayes Healthcare organizations have witnessed an explosion of new opportunities to extract value from the industry’s treasure trove of data in recent years, with success stories related to using advanced technology such as artificial intelligence (AI) and machine learning found in every sector.  Revenue integrity is […]

  • R1 Acquires Patient Financial Engagement Platform VisitPay for $300M

    What You Should Know: – Today R1 announced they will acquire patient financial engagement company VisitPay for $300 million in cash, leading the charge in overhauling the patient experience in the area with the most pain points – from surprise billing to price transparency. The acquisition marks R1’s third acquisition in the last year, transitioning […]

  • Why the Digital Front Door is Critical to the Healthcare Revenue Cycle

    Joel French, EVP of Patient Experience at R1 RCM, Inc. The COVID-19 crisis has upended many of our traditional business procedures and processes. However, because digital transformations were well underway before the pandemic, the shift to remote work and contactless consumer self-service was swift. In healthcare, digital strategies that were expected to take 10 years […]

  • Leveraging comprehensive consumer data to improve healthcare collections

    Collections were tough even before COVID-19 hit. Provider’s bottom lines were already strained, and the high-deductible trend continued, putting patients on the hook for a bigger chunk of their medical bills. A highly volatile – but improving – employment environment hasn’t helped, and some patients’ ability to pay hasn’t kept pace with their growing financial […]

  • Medchart Raises $17M to Simply The Request of Medical Records for Patients, Businesses

    What You Should Know: – Medchart, a Dallas-based cloud-based platform powering patient-authorized information for businesses, researchers, and consumer services announced it has raised $17M in seed and Series A funding led by Crosslink Capital and Golden Ventures, with additional funds from Vast Ventures, Union Ventures, iGan Partners, Stanford Law School, and hip hop icon Nas, […]

  • Navigating the complexities of health coverage and reimbursement beyond the pandemic

    Product featured in this article: Coverage Discovery As of the end of March 2021, more than 53 million Americans have been fully vaccinated, allowing for cautious optimism as we prepare for the next phase of the COVID-19 journey. Unfortunately for pharmacists, the vaccination program has compounded many of the challenges of the last 12 months. […]

  • Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity

    The first quarter of 2021 has been one of investor optimism as the vaccine rollout continues ahead of expectations and economic activity begins to accelerate in response.  Within the Health IT industry, the already strong investment and M&A trends seen in 2020 have only accelerated.  Over the course of the quarter, we observed $7 billion in private […]

  • Cardinal Health and Deep Lens Collaborate for AI-based Oncology Clinical Trial Matching

    What You Should Know: – Today, Deep Lens and Cardinal Health announced a strategic collaboration that will integrate Deep Lens’ AI-based clinical trial matching solution, VIPER, into community-based oncology practices throughout the Cardinal network. VIPER will be a part of Cardinal Health’s new Navista advanced suite of technology solutions designed to help oncologists improve outcomes, […]

  • 3 Barriers Stalling AI Adoption in Revenue Cycle Management

    Kenya Smith, Healthcare Solution Marketing Manager at ABBYY AI technology is quickly evolving and already surpassing human decision-making in certain instances; sometimes, in ways, we can’t explain. While many are alarmed by this, AI is producing some of the most effective and dramatic results in business today.  Adoption of AI in healthcare is growing, but […]

  • Omega Healthcare Acquires himagine Solutions to Expand Global Delivery Model

    What You Should Know: – Omega Healthcare, a provider of outsourced revenue cycle management and other healthcare support services, today announced the acquisition of himagine Solutions, a St. Louis based provider of medical coding and registry services. The transaction expands the service capabilities and geographical footprint of both companies, enhancing the ability to service clients globally. – Through this acquisition Omega Healthcare will […]

  • Lawsuit: Cerner systems’ failure drove Astria Health into bankruptcy  

    The Washington-based health system has filed a lawsuit against EHR giant Cerner saying it intentionally misrepresented its products and services. Cerner’s systems did not operate as promised, leading to severe cash collection issues at Astria Health and forcing it into bankruptcy in 2019, the suit alleges.

  • AKASA Raises $60M to Automate Revenue Cycle Operations for Health Systems

    What You Should Know: – AKASA (formerly known as Alpha Health), a South San Francisco, CA-based Unified Automation™ company for revenue cycle management in healthcare, announced it has raised $60 million in its series B round of funding. – Founded in 2018, AKASA uses the same machine learning approaches that made driverless cars possible to […]

  • Greenway Health Launches Customizable RCM Solution

    What You Should Know: – Greenway Health announced the launch of its new Greenway Revenue Services offering, GRS Select™, a customizable revenue cycle management (RCM) offering designed to meet the unique, individualized needs of healthcare practices as they rebuild and improve the profitability of their practices a year after the onset of the COVID-19 pandemic. […]

  • Waystar Launches Price Transparency Solutions to Meet Consumer Demand

    What You Should Know:  – Waystar, a provider of healthcare payments software, today announced the addition of the Text Statements feature to its suite of payment tools. This new solution enables patients to easily view and pay medical bills directly from their smartphone, bringing transparency and convenience to the patient financial experience – a long-standing […]

  • How to Optimize Your Healthcare Practice with Advanced Technology Solutions

    Terrence D. Sims, President of Strategic Growth and Marketing, Raintree Systems As COVID-19 continues to influence patient behaviors and causes providers to reevaluate how they operate their businesses, healthcare practices all around the world started looking for solutions that emphasize clinical efficiencies, elevate patient revenue cycle management, as well as feature enhanced reporting, and analytics […]

  • Vytalize Health Acquires Patient Financial Experience Platform MedPilot

    What You Should Know: – Vytalize Health acquires patient financial experience platform MedPilot to accelerate data-driven engagement technology to its ACO’s Medicare population. – An alumnus of the Cedars-Sinai Accelerator, MedPilot’s platform has already helped over 1 million patients to date and boasts a 97% patient satisfaction score.   Vytalize Health, a leading provider of value-based […]

  • Can AI Pave the Path to Reducing Physician Burnout?

    Abboud Chaballout, Founder of Diagnoss The timing couldn’t be more critical for us to start making serious headway to reduce the growing problem of burnout among America’s physicians. In 2018, physician burnout was already at an alarming 42%, but that number is growing as COVID-19 cases surge around the country.  While we are at a hopeful place […]

  • Healthcare Can Save $16.3B Automating Administrative Transactions, Report Finds

    What You Should Know: – Each year, the US healthcare industry spends $39 billion on 9 administrative transactions, according to a new report from CAQH. – The 2020 CAQH Index also uncovered that by automating these transactions, the industry could save $16.3 billion annually–a 42% cost reduction. CAQH, released the eighth annual report measuring the […]

  • How Automation is Key to the Future of Healthcare Operations

    Giri Rajaiah, Executive Leader, Vice President, Healthcare & Life Sciences, DISYS As the saying goes, necessity is the mother of invention. A similar correlation is seen in the quest to leverage innovation and out-of-the-box thinking to address key problems facing the healthcare industry. The ongoing COVID-19 pandemic has brought the immense pressure the U.S. healthcare […]

  • Medsphere Acquires Healthcare Relationship Management Platform Marketware

    What You Should Know: – Medsphere, a provider of affordable clinical IT systems and support services announced it has acqauired healthcare relationship management and analytics company Marketware. Medsphere Systems Corporation today announced the acquisition of Marketware, Inc., a leading developer of robust software tools focused on managing healthcare relationships and analyzing a wide variety of […]

  • Intelligent Automation of the Revenue Cycle: How an Integrated Platform Approach Yields Financial Results

    Sean Barrett, Senior Vice President, Product and Digital Transformation, R1 RCM Healthcare provider networks are experiencing enormous pressure to manage financial margins and invest in contactless patient experiences. With overall financial losses projected to exceed $323 billion as a result of COVID-19, a projected $200 billion in administrative waste due to revenue cycle inefficiencies, and […]

  • 4 Quick Tips for Getting COVID-19 Claims Paid Promptly

    Lillian Phelps, Sr. Director of Product Management, Availity As the COVID-19 pandemic has gripped the world, many providers have adopted an all-hands-on-deck approach and mentality for treating COVID-19 patients, stretching their resources to the breaking point.  We have heard about the frontline heroes who have sacrificed their own health and safety to treat patients and, […]

  • UnitedHealth Group Acquires Change Healthcare to Combine with OptumInsight for $13B

    What You Should Know: – UnitedHealth Group has reached an agreement to acquire Change Healthcare in a deal valued at more than $13 billion, marking the first major acquisition of 2021. – Change Healthcare will be combined with OptumInsight to advance a more modern, information, and technology-enabled healthcare platform. UnitedHealth Group’s has reached an agreement […]

  • 2020’s Top 20 Digital Health M&A Deals Totaled $50B

    Teladoc Health and Livongo Merge The combination of Teladoc Health and Livongo creates a global leader in consumer-centered virtual care. The combined company is positioned to execute quantified opportunities to drive revenue synergies of $100 million by the end of the second year following the close, reaching $500 million on a run-rate basis by 2025. […]

  • Gleaning Insights for COVID-19: Why Claims and Clinical Data Matter

    Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti As 170 research teams race to develop a vaccine for COVID-19, some that are in late-stage approvals have seen recent progress, but it is still not yet clear when a vaccine will become widely available. Until then, healthcare organizations continue to rely heavily on […]

  • What is Revenue Cycle Management?

    There is no question that providers’ bottom line has been hit hard this year, and a new surge in COVID-19 is bound to threaten hospital finances once again. As healthcare providers look to supercharge their payment velocity during these uncertain times, it’s worth taking a step back to examine the revenue cycle management process as […]

  • M&A: Olive Acquires AI Prior Authorization Company Verata Health

    What You Should Know: – On the heels of $225.5 million dollars in funding and a $1.5B valuation this week, Olive today announced its acquisition of Verata Health to create a combined AI prior authorization solution for providers and payers under the Olive name. – Prior authorization is a $31 billion dollar issue in healthcare, […]

  • Healthcare M&A: DAS Health Acquires Randall Technology Services

    What You Should Know: – DAS Health Ventures acquires healthcare and managed IT company Randall Technology Services (RandallTech). – This acquisition adds Allscripts® PM and EHR solutions to the DAS portfolio of supported products, and DAS Health has now added additional staff in Texas that will create opportunities for greater regional support of its entire […]

  • Hospital Sustainability Demands that Revenue Integrity Move Front and Center

    Vasilios Nassiopoulos, VP of Platform Strategy and Innovation, Hayes Razor-thin operational margins coupled with substantial and ongoing losses related to COVID-19 are culminating in a perfect storm of bottom-line issues for U.S. hospitals and health systems. A study commissioned by the American Hospital Association (AHA) found that the median hospital margin overall was just 3.5% pre-pandemic, and […]

  • M&A: Medsphere Systems Corporation Acquires Micro-Office Systems

    What You Should Know: – Medsphere acquires Micro-Office Systems (MOS), developer of systems integration and communication tools. MOS will retain its name and will serve as a division of Medsphere moving forward. Medsphere Systems Corporation today announced the acquisition of Micro-Office Systems (MOS) in a move that will even further enhance the value and usability of Medsphere’s affordable […]

  • Nuance Sells Off Transcription and EHR-Go-Live Services Businesses to DeliverHealth

    What You Should Know: –   Nuance announced that it’s planning to sell two sections of its healthcare business – Health Information Management (HIM) and Electronic Health Record (EHR) Go-Live Services – to a new independent company, called DeliverHealth, in early 2021. – Nuance will be a minority shareholder of DeliverHealth and continue to provide its […]

  • AMA Unveils 2 Vaccine-Specific CPT Codes for Coronavirus Immunizations

    What You Should Know: – The American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT®) code set that includes new vaccine-specific codes to report immunizations for the novel coronavirus (SARS-CoV-2). – The new Category I CPT codes and long descriptors for the vaccine products 91300 and 91301 for better tracking, reporting, […]

  • How Yale-New Haven Uses IPA in Revenue Cycle to Tackle Inefficiency

    As the pandemic heads toward a second year with no further financial stimulus guaranteed, hospitals and health systems are seeking ways to reduce costs and improve revenue cycle performance. Intelligent process automation (IPA) is an emerging solution designed to optimize operations and increase productivity through a combination of process modeling, process automation, and artificial intelligence.  […]

  • Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment

    What You Should Know: – Cohere Health partners with health insurer Humana to modernize the prior authorization process for musculoskeletal treatment across 12 states. – In addition, the company has closed an additional $10M in funding led by Flare Capital Partners and Define Venture, bringing the company’s total funding to $20M. Health insurer Humana has […]

  • Impact of COVID-19: 2020 State of Healthcare Performance Improvement Report

    What You Should Know: – Nearly three-quarters of hospital leaders are either moderately (52%) or extremely (22%) concerned about the financial viability of their organizations without an effective treatment or vaccine for COVID-19, according to a new report from Kaufman Hall entitled, “2020 State of Healthcare Performance Improvement Report: The Impact of COVID-19” – One-third […]

  • Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

    What You Should Know: – Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts. – The solution utilizes Artificial Intelligence (AI) and Natural Language Processing (NLP) to make risk predictions. Innovaccer, Inc., a […]

  • AMA Adds New CPT Codes Multi-Virus Tests to Detect COVID-19 and Flu

    What You Should Know: – AMA announces new CPT codes for multi-virus tests to detect COVID-19 and flu for immediate use.  The American Medical Association (AMA) today published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting medical services sparked by the public health response to […]

  • Intermountain to Deploy AI-Powered Digital Assistants Across Clinically Integrated Network

    What You Should Know: – Intermountain Healthcare announced it will scale Notable’s AI-driven platform across the health system’s clinically integrated network to support thousands of providers, automate administrative workflows, streamline the check-in experience for patients, and simplify provider follow-up. – The Notable Platform uses intelligent automation to identify and engage more patients in need of […]

  • Getting Beyond the Telehealth ‘Stop-Gap’ Mentality

    Roland Therriault, President, InSync Healthcare Solutions Since COVID-19 emerged as a major health threat, virtual care has taken off. As many as 46% of patients reported in late April that they had used telehealth to replace a canceled healthcare visit in 2020, while 48% of physicians said they had started using telehealth to treat patients.   […]

  • TrustHCS, Visionary RCM, T-System, RevCycle+ Merge to Form New Entity CorroHealth

    What You Should Know: – CorroHealth – a newly-formed entity – combines the services and technologies of TrustHCS, Visionary RCM, T-System, and RevCycle+. – Under this new entity, CorroHealth is committed to helping clients navigate regulatory compliance complexities, ease physician burdens and improve financial outcomes. Today, four revenue cycle management services and technology organizations have […]

  • Designing A Digital Experience to Drive Revenue and Patient Engagement

    Bill Krause, VP and GM, Digital Experience and Consumer Engagement at Change Healthcare With the rise of healthcare consumerism, people are looking to hospitals, health systems, and physician practices to deliver the same user-friendly, digital experiences they receive from other industries. A recent survey found that more than 80% of consumers surveyed believe “shopping for […]

  • Report: Modern Revenue Integrity Solutions Driving Payment Performance

    What You Should Know: – New Chilmark Research report on revenue integrity in healthcare reveals a transitional market making strides to address the new burdens of modern care economics. – The ongoing COVID-19 public health emergency underscores the imperative need for automation and reduced administrative costs even clearer. Revenue cycle has and continues to be one of […]

  • Waystar Acquires Medicare RCM Company eSolutions at $1.3B Valuation

    What You Should Know: – Revenue cycle management provider Waystar acquires eSolutions, a provider of Medicare and Multi-Payer revenue cycle management, workflow automation, and data analytics tools at a $1.3B valuation. – The acquisition will create the first unified healthcare payments platform with both commercial and government payer connectivity, resulting in greater value for providers. […]

  • Top 5 RCM Challenges for Healthcare Executives in the COVID-19 Era and Beyond

    Brian Robertson, CEO at VisiQuate, There have been many memorable “where were you?” events since the 21st century began. But few can match the COVID-19 pandemic, at least from a healthcare perspective.  The effect on healthcare (and healthcare executives) has been particularly profound since our industry is in the center of everything. From the search for […]

  • T2 Tech Group Acquires Remote Patient Scheduling Service from Revint Solutions

    What You Should Know: – T2 Tech Group, a Los-Angeles based leading IT consulting, advisory, and project management services provider, has just acquired the patient access and scheduling services division from Revint Solutions. – The coronavirus pandemic has created a vast backlog of patient appointments and compounded the strain on the healthcare industry. This acquisition […]

  • DAS Health Acquires Managed IT Services and CyberSecurity Company Technology Seed

    – Both companies’ clients will gain an increased depth of IT and security support, and Technology Seed’s healthcare clients will now have a substantially improved value proposition DAS Health Ventures, Inc., a provider of health IT and management, announced today it completed the acquisition of Technology Seed, LLC, a managed IT and cybersecurity services company based in Salem, NH. […]

  • Sharecare Acquires WhiteHatAI to Enhance Healthcare Payment Integrity

    What You Should Know: – Sharecare acquires WhiteHatAI to provide health plan and provider clients with additional capabilities to ensure healthcare payment integrity  – WhiteHatAI’s ability to detect erroneous claims before they are paid will help Sharecare’s health plan partners reduce costs associated with FWA. – Sharecare will integrate WhiteHatAI’s capabilities to foster deeper engagement […]

  • HealthEdge Software Acquires Payment Integrity Solution The Burgess Group

    What You Should Know: – HealthEdge Software announces the acquisition of The Burgess Group, LLC (“Burgess”), an innovative payment integrity software company focused on improving healthcare payment operations for an undisclosed sum. – The strategic acquisition will boost Health Edge’s position in the payment integrity market and extends best-in-class claims processing to include software-driven payment […]

  • BJC HealthCare Taps Patientco to Provide Seamless Patient Payment Experience

    What You Should Know: – BJC HealthCare has signed an agreement with patient payment platform Patientco to offer a seamless patient financial experience, helping patients navigate their medical expenses and pay their bills. – Patientco’s platform provides patients with a single billing statement outlining their outstanding balance and will help BJC streamline its payment process by reducing the number of bills associated with one visit as well as […]

  • COVID-19: 4 Essential Patient Payment Strategy Components to Accelerate Cash Flow

    David Shelton, PatientMatters CEO In the past few months, the COVID-19 pandemic has shaken societies, economies, and human wellbeing to the core. While protecting public health and welfare are top priorities for hospitals, the harsh reality is that it takes cash to keep the doors open and serve patients effectively. Revenue is down significantly as […]

  • Banner Health to Implement Cerner Revenue Cycle Management Across Enterprise

    What You Should Know: – Cerner and long-time client Banner Health announced a new deal to implement a comprehensive suite of revenue cycle management solutions as part of a long-standing strategic alignment to use health care technology to drive population health improvement. – The revenue cycle integration will take place across Banner Health’s entire system, including […]

  • 4 Ways Healthcare Organizations Can Establish Partnerships to Drive Innovation

    With public and private healthcare spending significantly outpacing that of other countries, U.S. hospitals face intense pressure to find new ways to capture greater value. More and more, organizations are finding that partnerships with existing vendors can help unlock next-level performance gains in a transformative environment. Take Nebraska Medicine, for example. In the early 2000s, […]