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…
Revenue Cycle Management
When “Fail First” Fails Patients: Why Step Therapy Exception Requests Matter More Than Ever
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…
In 2025, Debra Jaeger, MSN, RN, was hired as New York City-based Mount Sinai’s first chief revenue officer, tasked with unifying the system’s fragmented revenue cycle. The role was designed to elevate Mount Sinai’s revenue cycle into a center of…
The revenue cycle has always been a battleground between payers and providers, but AI is raising the stakes in ways that hospital finance leaders say are becoming increasingly difficult to absorb. Payers are automating denials faster than ever. Providers are…
Thirteen hospitals and health systems recently posted job listings seeking revenue cycle vice presidents. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. BJC Healthcare, based in St. Louis, seeks vice president of revenue cycle…
Payer challenges remain the top stressor for revenue cycle leaders, according to an April 7 report from Guidehouse. Guidehouse and the Healthcare Financial Management Association surveyed 191 provider executives in late 2025 about their challenges and investments in revenue cycle…
Hospital finance leaders know margins are going to stay under pressure. Elevated labor costs and ongoing supply chain volatility are no longer temporary hurdles; they’re starting to look like the new baseline. According to the latest Kaufman Hall Flash Report,…
More than two-thirds of revenue cycle leaders surveyed said they are using a third-party vendor to support accounts receivable follow-up and collections, according to an April 7 report from Guidehouse. Guidehouse and the Healthcare Financial Management Association surveyed 191 provider…
From Ohio State University Wexner Medical Center naming a chief revenue officer to Erlanger Health System naming a senior vice president of revenue cycle, here are 23 revenue cycle executive moves Becker’s reported in 2026. 1. Joplin, Mo.-based Freeman Health…