Agentic Healthcare: The Next Evolution Hospitals Can’t Afford to Ignore
Healthcare is changing — fast. And the next major leap forward isn’t more automation, dashboards, or analytics. It’s agentic healthcare — a new era where systems don’t just respond… they act What Is Agentic Healthcare? In traditional hospital environments, technology is reactive. Systems wait to be clicked. Bots wait to be triggered. Workflows wait for […]
Why Hospitals Need to Integrate Their Data into an LLM Like ChatGPT to Increase Profitability, Revenue, and Reduce Costs
Hospitals face relentless financial pressure, shrinking margins, rising labor costs, and increasingly complex payer dynamics. Yet, most of the insights needed to improve profitability and revenue are buried deep within siloed data systems. Integrating that data into a Large Language Model (LLM) like ChatGPT can transform how hospitals capture revenue, control costs, and make decisions […]
AI Prompting For Hospital CFOs: Smarter Questions. Stronger Results.
Hospital CFOs today are facing one of the toughest financial environments in modern healthcare. Rising costs, inaccurate reimbursement rates, thin operating margins, and ongoing labor shortages — all hitting at once. Finance teams are working harder than ever, but many are drowning in data and starving for insights. Every day, they juggle spreadsheets, contracts, and […]
Why Revenue Cycle Management Is More Important Than Ever: The New Role of Monthly JOCs with Payers
In today’s healthcare environment, revenue cycle leaders can no longer afford to treat payer collaboration as an occasional exercise. The financial stability of hospitals increasingly depends on proactive, data-driven engagement with payers, and monthly Joint Operating Committees (JOCs) have become the new standard for keeping reimbursement on track. What Is a JOC and Why It […]
States’ Progress on Health Coverage and Access to Care
I recently read the latest Commonwealth Fund census report examining how healthcare coverage and access have fared under the ACA. The report specifically focused on the time period between 2013 and 2016. One compelling take away is that fewer adults skipped doctors’ visits due to cost during this time. Thus, creating more access to healthcare […]
A Renewed Focus on Denial Management
Hospitals are losing an estimated 3% of net revenue on denials and the cost of reworking claims is an average of $25 per claim. Hospitals are renewing their focus on denial management by analyzing their current processes and tweaking those gaps. Taking another look at your processes, workflows and automated tools significantly helps your organization’s […]
Is this the new “normal”? – Survey indicates Denials cost the average hospital $3.5M
According to the Advisory Board’s latest revenue cycle survey, denials cost the average hospital $3.5M a year. The biennial survey included information provided by senior executives at 90 hospitals and health systems, as well as data from nearly 300 additional healthcare organizations. According to the survey, the number of denials hospitals wrote off as uncollectable […]
Tips for Avoiding Hospital Underpayments and False Variances
Hospital underpayments are nearing 100 billion dollars nationally which explains why Executives are taking notice. Every day, hospitals are underpaid at rates which are in variance to their payer contracts. Many of these underpayments go unnoticed making it difficult to recover. At the heart of underpayments is a hospital’s Contract Management System. Whether you are […]
Parathon Launches New Look and Feel to Software
Parathon Launches New Look and Feel to Software Parathon, the original full-scale healthcare Revenue Cycle Management (RCM) data integrator, has announced the release of a fresh new look and feel to its Parathon® Web Tool. Parathon first focused on updating its name and website, www.Parathon.com, for its rebranding campaign which began in July 2017. Once […]
Next Generation Revenue Cycle Trends
With shifting paradigm in the regulatory environment, valued-based reimbursement, healthcare consumerism, and long term sustainability is on the minds of healthcare executives. In planning strategic initiatives, there are key improvement opportunities for providers to address. Key Improvement Opportunities: Optimize revenue cycle technology – finding a middleware vendor that can integrate with all HIS systems and […]
