Wisdom Raises $28M to Enhance AI in Dental Revenue Cycle Management
Wisdom raises $28M to enhance AI in dental revenue cycle management, offering RCM teams insights on innovation and growth trends in the sector.
InstaMed Review: Honest RCM Deep Dive — Unified Payments Platform (2026)
Independent InstaMed analysis — a unified payments platform, integration depth, and who it's actually best for. Built for RCM teams, not investors.
Garner Health Raises $100M in Series E — Implications for RCM Teams
Garner Health's $100M Series E funding signals shifts in healthcare navigation. RCM teams will need to adapt strategies for improved billing workflows.
Trinity Health Reports $200M Operating Income — Implications for RCM Teams
Trinity Health's $200M operating income outpaces peers. Key implications for RCM teams and how to optimize billing strategies effectively.
Congressional Push to End Medicare AI Prior Auth — Implications for RCM
Congressional Democrats aim to end Medicare’s AI prior auth program, impacting RCM workflows. Discover what this means for billing directors and revenue cycle leaders.
Cohere Health Raises $90M Series C to Scale Prior Auth AI Platform
Led by Temasek with $200M total raised. Cohere auto-approves 90% of the 12M+ prior auth requests it processes annually — and is now expanding into broader clinical decision-making.
The RCM Developer Problem Is Over
AI coding agents just closed the gap between knowing what to build and being able to build it. Here's what that means for revenue cycle teams that have been waiting on IT for years.
Prior Authorization is Breaking Trust—Time for a 21st Century Fix
Outdated prior authorization processes are undermining trust in healthcare. Here's what the CMS is saying and what it means for your revenue cycle.
Carlyle Bets Big on AI-Native RCM: What the Knack + EqualizeRCM Deal Means for Your Practice
Carlyle acquires majority stakes in Knack RCM and EqualizeRCM to build an AI-native, global, multi-specialty RCM platform. When PE at this scale bets explicitly on AI-native delivery, the bar for every RCM vendor just moved.
AI Enters the Fray: Can It Solve Our Denial and Underpayment Crisis?
Explore how AI can tackle denial and underpayment issues in revenue cycle management, offering innovative solutions for healthcare practitioners.
Ensemble + Cohere Are Building an RCM-Native LLM. Here's Why That's Different.
Not a GPT wrapper. Not prompt engineering. A fine-tuned model trained on real RCM operational data from 30+ health systems. The AI RCM arms race just shifted from model access to domain-specific training data.
AI Is Coming for Your Revenue Cycle. Here's What That Actually Means.
EY's new report on AI-driven RCM gets the framing right. But the transformation they're describing doesn't require a consulting engagement - it requires targeted automation against specific denial codes.
CMS Phases Out Fax Machines - What the Claims Attachments Rule Actually Means for RCM
$782 million in annual savings. Electronic claims attachments mandated by 2028. The fax era is officially ending.
Experian Health: The Credit Bureau's RCM Play - Data Moat, Patient Access, and What It Can't Do
Bureau-grade identity verification, credit-data propensity scoring, and Patient Access Curator AI. Best front-end platform for high-volume systems - but not end-to-end.
Is Your EHR Holding Back RCM Automation's True Potential?
Explore how your EHR system may be limiting RCM automation and discover strategies to unlock its full potential for improved revenue cycle management.
Denial Rates Surge as Prior Auth Rejections Plummet-What's Next?
The denial rate is climbing while prior auth rejection counts drop. What's driving the divergence and what it means for your AR.
What Fierce Healthcare's Fierce 15 of 2026 Signals for Revenue Cycle
The 2026 class is dominated by operational AI - not diagnostics, not therapeutics. Escher Health, Hyro, and Artisight have direct RCM implications. Here's what to watch.
Zelis Vendor Deep Dive: The Complete RCM Platform Review (2026)
Zelis focuses on modernizing the healthcare financial experience by bridging gaps between payers, providers, and consumers. Despite its strengths, Zelis face
The RCM intelligence toolkit that pays for itself on one recovered claim.
Built by people who've worked the denials, coded the claims, and sat across from underwriters. Not theory - operational tools for the revenue cycle floor.
Also developing
Ilant Health Raises $15M in Series A — Implications for RCM Teams
Ilant Health raised $15M in Series A funding. RCM teams will gain insights into how this impacts billing processes and vendor dynamics in healthcare.
Zelis: The Payment Integrity and Network Company Touching More Claims Than You Think
Zelis reprices hundreds of millions in claims annually. Here is how their network, payment integrity, and communications products intersect — and what…
More intelligence
athenahealth's 80+ AI Features: What RCM Teams Need to Know
athenahealth just dropped 80+ AI features into athenaOne — including voice agents closing prior auths in under an hour, AI coding that automates 51% of charges, and a 30% lift in recovered…
InstaMed Review: Honest RCM Deep Dive — Unified Payments Platform (2026)
Independent InstaMed analysis — a unified payments platform, integration depth, and who it's actually best for. Built for RCM teams, not investors.
Stedi Drops the $500/Month Minimum — What It Means for RCM Teams and Vendors
Stedi just eliminated the $500 monthly minimum for production API access. Pay-as-you-go clearinghouse EDI is now a real option for RCM startups, small practices, and solo developers.