Healthcare AI, revenue cycle management, prior authorisation and payer/provider technology.
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They join the push to speed up prior authorization and make it more transparent by 2027. Big Tech is moving into payer workflows.
Read the source →A CMS deputy administrator said “a lot of things” about the AI-assisted Medicare prior auth pilot running in six states are not working. Expect more scrutiny of AI-led denials.
Read the source →Its ambient AI now links clinical documentation to financial workflows, and it works with 250+ healthcare organisations.
Read the source →Brellium raises $23M for AI that checks documentation before billing. It's expanding beyond behavioural health.
Read the source →Sunbound closes a $24M Series A and acquires Richter Healthcare Consultants, combining AI RCM with services for senior living.
Read the source →Sustainable Medical Billing made two acquisitions in a week (SMRTDO and Impact Healthcare Solutions), adding 300+ nearshore staff.
Read the source →Senthil Velayutham, formerly Nextiva’s product and technology chief, joins as CTO to lead AI across its revenue operations platform.
Read the source →RCM AI companies are building out their C-suites as they scale. Adonis named its first CRO (Doug Pickett, ex-Cedar) and a CPO from Oscar Health this summer.
Read the source →The full archive of Digital Health.
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