By Alex Moran – We have become very good at telling the next provider that a patient has left the hospital. We have built almost nothing for hearing what happens after that. I find that strange, because the people with the best view of a person’s condition after discharge are usually not in a clinical setting at all. They are in the home, and they are there several times a week.
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By Ramkumar Pichandi – Healthcare has automated a growing number of administrative actions, but we have been less disciplined about defining when the underlying work is actually finished. An eligibility response arrives. An authorization request is sent. A claim passes a pre-submission check. Each event can be recorded as successful even when the account still carries an unresolved issue.
By Frank Forte – A CFO in a large Midwest health system had what looked like an easy call to make. Consolidate the organization’s complex claims into a single generalist revenue cycle management (RCM) platform and save roughly $400,000. The added benefit was fewer vendors to manage.
By Lindsey Rodarmer MS – Our Acentra Health team returned from the 2026 National Association of Medicaid Program Integrity (NAMPI) Annual Conference with a renewed appreciation for the people and partnerships working to protect Medicaid and strengthen outcomes nationwide.
By Gina Kidder-The familiar phrase “death by a thousand cuts” describes how small problems accumulate into a major loss. Capacity works in reverse. Hospitals create meaningful room for more patients through hundreds of small, coordinated improvements that move people into, through, and out of the system more reliably.
By John Torontow – When receiving care teams have the right data at the right time, they can intervene before small problems become readmissions and dramatically improve patient outcomes. Here’s how to flip that switch.For all the serious medical peril patients may face as they come through the hospital doors, they’re actually at their most vulnerable when responsibility shifts between care teams.
By Bob Watson – One of the clearest tests of the federal government’s $50 billion Rural Health Transformation Program (RHTP) will be whether rural patients’ health information can move with them across the healthcare system.
By Ricky Bell – For the past decade, I have sat in boardrooms and clinical offices watching healthcare organizations pour millions into Electronic Health Record (EHR) optimization, artificial intelligence, and interoperability. The goal is always the same, and that is operational excellence. Yet, when we look at the revenue cycle, that investment often hits a wall.
By David Main DC – Of everything artificial intelligence was going to fix in healthcare, billing looked like the softest target. It is rule-bound, high-volume, repetitive. The code sets are published, the edits are published, the payer policies at least nominally so. If you had asked me three years ago where AI would land first and hardest, I would have said the revenue cycle without hesitating.