Billing, collections, coding, payer mix, and financial performance.
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…
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…
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…
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…
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…
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…
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,…
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…
A benchmarking analysis of more than 2,300 hospitals and 350,000 physicians’ revenue cycle data found that providers improved payment speed in 2025 — average days to insurance payment…
HFMA’s 2026 framework argues that revenue cycle strategy has outgrown its back-office origins and must now function as enterprise infrastructure — directly shaping organizational stability, capital planning, and…
