The percentage of enrollments without any medical claims was 19% in 2021. That percentage jumped to 35% in 2024. Critics say this increase in zero-claim enrollments is evidence of fraud.

With reimbursement shortfalls, rising labor costs, and state-level mandates squeezing margins, CFOs are being forced to balance mission preservation with financial viability.

A new survey reveals that leaders are accelerating AI and digital transformation investments to drive innovation and workforce development for long-term sustainability.

Insights from RCM leaders show a pivot towards proactive strategy, workforce alignment, and cost-conscious scaling amid ongoing payer friction.

Revenue Cycle Managers are deploying AI across their departments, using the technology to improve efficiency and reduce the data-crunching burden on their staff. Here’s where they’re finding the most bang for their buck.