Lean value-based payment models and increasing consumerism in the healthcare sector are driving innovative approaches to revenue cycle management RCM) at health systems, hospitals, and physician practices. RCM innovation is not only transforming traditional revenue cycle functions such as insurance claim and billing processes but also expanding the scope of revenue cycle staff activity into new areas such as patient registration and postacute patient engagement. This roundtable examines strategies for success in launching and operating RCM innovation initiatives, including efforts to reduce claim denials, convey value to patients in easily comprehensible ways, and craft comprehensive billing statements that avoid unleashing avalanches of bills on patients.