Revenue Cycle Management

Revenue cycle has become a critical lever for health systems navigating rising costs, reimbursement pressure and increasingly aggressive payer behavior. For Ontario, Calif.-based Prime Healthcare, it is also the foundation of how the organization approaches hospital acquisitions and executing financial…

When the ACA enhanced subsidies expired at the end of 2025, more than 22 million Americans enrolled in ACA plans saw their insurance rates as much as double overnight.1 The implications of this seismic shift are now rippling into nearly…

Health systems across the U.S. continue to navigate mounting financial pressures, shifting reimbursement models and growing administrative complexity — placing revenue cycle leadership at the center of operational success. Each week, Becker’s is highlighting five revenue cycle leaders to know,…

A new class of contenders is entering the AI arms race between payers and health systems. Several AI startups are now using large language models to fight insurance denials on behalf of patients with early results that are turning heads.…

Ten hospitals and health systems recently posted job listings seeking revenue cycle management expertise. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Akron (Ohio) Children’s Hospital seeks a vice president of revenue cycle.  2.…

Many hospital and health system revenue cycle leaders have pushed back on a consistent fear surrounding artificial intelligence: that it could eliminate jobs.  The common thought process from executives across the country is that AI will reshape how RCM leaders conduct their…

Here are 11 health systems that have made revenue cycle vice president hires in 2026:  1. Gainesville, Fla.-based UF Health named Peter Thompson vice president of revenue cycle management business support.  2. Baltimore-based Johns Hopkins Medicine named Sharlene Seidman vice…

R1 RCM has introduced two new AI-powered tools through its Phare Operating System.  The revenue cycle management company launched Phare OS in October, designed to deploy agentic and labor tools across the revenue cycle to improve throughput, reduce cost to…

Step therapy, commonly referred to as ”fail first”, was designed to control costs by requiring patients to try lower-cost therapies before accessing the treatment originally prescribed. In theory, it promotes responsible utilization. In practice, it often introduces delays, administrative burden,…

Ten hospitals and health systems recently posted job listings seeking revenue cycle management expertise. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. BJC HealthCare, based in St. Louis, seeks a director of revenue cycle…