Healthcare leaders estimating Medicare Advantage's impact on revenue
Accounts Receivable (AR), AR Days, AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

The Medicare Advantage Shift Every Healthcare CFO and RCM Leader Needs to Prepare For

The latest proposal from Centers for Medicare & Medicaid Services (CMS) to increase 2027 Medicare Advantage payments by 0.09% barely registered as good news for insurers.

For providers—especially hospitals, physician groups, and rural healthcare systems—it sent a signal that reimbursement pressure is about to intensify.

Healthcare RCM teams managing accounts receivable
Accounts Receivable (AR), AR Days, AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

5 Critical AR Questions Revenue Cycle Leaders Must Answer in 2026

With Medicare and Medicaid underpayments reaching $130 billion and claim denial rates hovering near 12%, it’s no surprise that healthcare revenue cycle management (RCM) leaders are zeroing in on accounts receivable (AR) workflows as their top priority in 2026.

Tracked obsessively and discussed endlessly, AR workflows in healthcare are still managed much the way they were a decade ago, with RCM teams relying largely on:

AI in RCM The Missing Link Explained
Accounts Receivable (AR), AR Days, AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

What’s Really Holding Back AI Success in Revenue Cycle Management?

A recent Black Book flash survey of 149 US revenue cycle executives surfaced a truth many healthcare providers quietly acknowledge but few say it loud: AI isn’t falling short in healthcare revenue cycle management (RCM) because its algorithms are weak; it’s falling short because the data underneath them is.

Healthcare workers with claim documentation at the background
Accounts Receivable (AR), AR Days, AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

From Living in Denial to Leading in Denial Prevention: How AI Is Changing the RCM Game

For years, denial management has been a post-event exercise—a financial post-mortem of a claim after the damage is done. But AI is changing that.

Having moved beyond experimentation to actual execution, AI is now redefining how healthcare providers look at and handle claims—not as a reactive port-mortem of claims lost to denials but as a predictable and prescriptive tool to prevent denials

The benefits of outsourcing RCM
Accounts Receivable (AR), AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

3 Reasons Why Healthcare Executives Are Betting Big on RCM Outsourcing   

As hospitals fight for financial resilience, healthcare executives are stepping up to change the course with outsourced revenue cycle management (RCM) services. While filling revenue cycle gaps with extensive hiring or building new-age tech stacks is both costly and unsustainable, RCM outsourcing has emerged as one of the most cost-effective ways to move beyond temporary patchwork and build long-term revenue cycle resilience.

Image of physicians looking at RCM dashboards
Accounts Receivable (AR), AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

The Big 4: KPIs that Make or Break Your Revenue Cycle 

Driving improvements in RCM isn’t about drowning in data. It’s about tracking and acting on the right KPIs that go beyond vanity reporting to tell whether your revenue cycle is on track or heading for chaos and that serve as strategic enablers for financial growth.

A healthcare professional using Agentic AI
Accounts Receivable (AR), AR management, Denial Management, Medical Billing, Medical Billing Services, Medical Coding, Prior Authorization, Revenue Cycle Management

Beyond the Bot: How Agentic AI Is Changing the Game in Healthcare RCM

The inherent complexities in RCM, from patient access to billing and AR management, create an optimal environment for intelligent intervention with Agentic AI. While RPA bots focus on minimizing human effort on mundane tasks, Agentic AI can actually fix RCM systemic inefficiencies