AI in healthcare has reached a critical inflection point. Across the industry, organizations are investing heavily in artificial intelligence, believing it will revolutionize patient care, reduce administrative burdens and boost efficiency. Yet, despite billions in spending, the returns have been underwhelming.
Hospitals have no shortage of visibility into accounts receivable. The challenge is converting that visibility into payment.
Most teams still move between clearinghouse feeds, payer portals, and automated phone systems to confirm status, assemble evidence, and decide the next step. That choreography slows reimbursement and raises cost-to-collect.
How Healthcare Leaders Can Turn Pilot Projects Into Sustainable, System-Wide Results
AI is no longer a buzzword in healthcare. It now has its own budget line, and it’s already reshaping the way healthcare gets delivered and paid for. More than 80% of healthcare organizations report active AI projects, but only 18% have a mature strategy for scaling and governing them.
Anyone who’s tried to schedule a doctor’s appointment is painfully familiar with the sound of healthcare inefficiency: hold music.
The painful experience of listening to Opus No. 1 after giving the office your personal information, only to get transferred to another line and repeat that information again, is universal.
AI is finding its way to all corners of the modern dental practice, powering clinical applications in the operatory and administrative functions at the front desk. It’s no wonder DSOs are abuzz with what’s now and what’s next—and there’s no sign of it quieting down any time soon.
The healthcare accreditation landscape is undergoing visible transformation. As industry giants race to simplify standards, reduce burden, and modernize their models, providers are left wondering: What’s changing? What’s not? And who’s already doing what others are just now starting to consider?
When it comes to healthcare billing, few specialties are as misunderstood, or as intricate, as anesthesia. At first glance, it may seem logical to approach anesthesia revenue cycle the same way you would any other specialty. But that assumption can be costly.
Hospitals and health systems are under unprecedented financial pressure. Labor shortages, rising supply chain costs, shifting regulations, and increasingly complex payer contracts are straining margins and limiting investments in patient care. While many organizations have digitized their EHRs and ERPs to improve efficiency, one of the most powerful levers for profitability remains largely untapped: contracts.
Today, the durable medical equipment management (DME) process can be fragmented, inefficient, and unreliable – leading to errors and delays that impact member health, inflate costs for health plans, and burden clinicians with administrative complexity.
The concurrent authorization process is plagued with challenges for both payers and providers. Inefficiencies like administrative burden, communication gaps, and inconsistent medical necessity determinations lead to increased costs and a poor member experience.
If you undergo a surgical procedure or are admitted to a hospital for nearly any serious condition, you are likely to receive various generic injectable drugs. From blood thinners to antibiotics to anesthetics, these essential medicines are used every day in hospitals across the country.
Cancer will claim an estimated 618,000 lives in the U.S. in 2025, according to the American Cancer Society. Yet, despite advances in treatment, most of these deaths stem from cancers without guideline- recommended screening tests.
The concurrent authorization process is plagued with challenges for both payers and providers. Inefficiencies like administrative burden, communication gaps, and inconsistent medical necessity determinations lead to increased costs and a poor member experience.
Security’s purpose in a modern hospital is to protect people while preserving dignity, calm, and clinical flow. That starts at the front door. A welcoming, consistent check-in sets expectations, lowers tension, and gives teams clear awareness of who is on site and why. Effective visitor management is now the first line of defense and a key experience touchpoint that establishes accountability at entry, versus only deep within clinical zones.
CMS’s 2025–2030 updates to Dual-Eligible Special Needs Plans (D-SNPs) are among the most sweeping reforms to date, and they signal a clear shift: dual-eligible care must move from fragmented compliance exercises to fully integrated, outcomes-driven operations. For health plans—especially Medicaid-only plans—the stakes could not be higher.
Most hospital leaders understand the financial risk of prior authorization breakdowns. But another source of revenue leakage is gaining attention: claim denials tied to medical necessity. These denials are harder to predict, tougher to appeal, and more expensive to resolve.
We all know clinicians see safety and quality as part of their professional duty. They carry the responsibility to deliver the best care possible, to avoid harm, and to give their patients the best possible experience. Yet in practice, clinicians wrestle daily with systems not optimized for safe, efficient work.
When a critical patient’s prognosis is unclear, often because they are unable to wean from the ventilator, care teams begin to discuss palliative care, advance care planning, and even hospice. Making decisions about long-term care goals can be challenging for patients and their families as they navigate the complexities of their conditions.
Ambulatory surgery centers (ASCs) are experiencing unprecedented growth, and so is the medical technology that powers these practices. The question that I often get from customers isn’t whether to invest in cutting-edge medical equipment.
In my role as a subspecialist physician, I’ve worked in diverse settings—from independent outpatient practices to academic centers and hospital systems. Each environment presents unique challenges, but one issue remains consistent: poor data.