KLAS 2026 RCM Suites Report: Deep Single-Vendor Adopters Collect More
Healthcare organizations that run three or more revenue cycle modules from a single vendor — ‘deep adopters’ — report better cash collections and a lower cost to collect…
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Healthcare Payment Models Can’t Reimburse Clinical AI Yet — Here’s the Fix Being Built
Today’s healthcare payment models — fee-for-service, pay-for-performance, and capitation — cannot properly reimburse providers for clinical AI, according to a new Peterson Health Technology Institute report drawn from…
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CMS 2027 Outpatient Pay Proposal: 2.4% Increase, 340B Cuts and Site-Neutral Expansion
CMS is proposing a 2.4% increase in outpatient and ambulatory surgical center payments for 2027, alongside a cut to the 340B drug discount and a broader push toward…
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AI in Healthcare Revenue Cycle Is Delivering Real Results: 2026 Oliver Wyman Survey
AI in healthcare revenue cycle management has crossed a critical threshold: it is now delivering measurable, repeatable results at enterprise scale. Oliver Wyman’s 2026 Healthcare RCM Survey of…
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6 Health Systems Outsourcing Revenue Cycle Functions in 2026
Six U.S. health systems—including IU Health, UnityPoint Health, and Stamford Health—moved revenue cycle functions to outside vendors in the first half of 2026, signaling that RCM outsourcing has…
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CMS Withholds $1.3B in Medicaid Funds from California in Record Fraud Enforcement Action
The Trump administration announced it will withhold $1.3 billion in Medicaid funding from California—the largest single deferral ever made by CMS—citing the state’s failure to address program integrity…
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Prevention by Design: How AI Is Delivering Measurable Results in Revenue Cycle
Health system revenue cycle leaders are reporting measurable AI results in 2026 — not from replacing staff, but from deploying it as a proactive prevention layer. At a…
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Waystar Targets $100B RCM Labor Pool with AI as Agentic Workflows Drive 40% of Q1 Bookings
Waystar generated $313.9 million in Q1 2026 revenue, up 22% year-over-year, as the company advances a strategy of deploying AI-powered agentic workflows to automate the approximately $100 billion…
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Financial Assistance Reform Is Reshaping Revenue Cycle Strategy
State-level financial assistance legislation is fundamentally redefining revenue cycle governance for health systems. Multiple states — including Maine (LD 1937, effective July 1, 2026), North Carolina, Maryland, Vermont,…
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Hospitals Lost $48.4 Billion to Revenue Leakage in 2025 Despite Improving Cash Flow
Kodiak Solutions analyzed data from 2,300 hospitals and 350,000 physicians and found that net revenue leakage — losses from final denials and uncollected bills — increased 25% in…