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July 18.2025
3 Minutes Read

How AI Can Transform Healthcare Revenue Cycles and Reduce Denials

Becker's Hospital Review text over dark blue background.

The Power of AI in Health Systems

As healthcare providers grapple with rising operational costs and the demand for improved patient care, the adoption of artificial intelligence (AI) has gained momentum, particularly in managing the mid-revenue cycle. Health systems stand at a crucial crossroads, and technology investments are no longer merely options but necessities that must deliver measurable value. According to the recent 2025 KLAS Second Look Report, Xsolis’ AI platform, Dragonfly, is paving the way for significant advancements in this area. Users of Dragonfly have reported improved denial rates and a faster return on investment, proving that AI can indeed enhance collaboration between payers and providers.

A Financial Drain on Health Systems: The Denial Crisis

Preventable denials in healthcare result in more than just administrative chaos; they represent a staggering financial burden, costing health systems nearly $20 billion annually. A 2023 study from the Kaiser Family Foundation discovered that one in five adults faced health insurance denials. Even though approximately half of these denials get overturned, the process leaves patients confused and frustrated, highlighting a significant gap in healthcare administration that technology can potentially fill.

Bridging the Gap: Payer-Provider Collaboration

Impediments in communication between payers and providers complicate revenue cycle performance while detracting from patient experience. As reported by KLAS, 89% of users of Xsolis rely on its AI capabilities to mitigate preventable denials, with the majority witnessing improvements within the first year of implementation. The ability of Xsolis’ Dragonfly platform to utilize shared patient information in real-time allows healthcare systems paired with health plans to operate cohesively, significantly reducing the administrative back-and-forth. A striking 78% of respondents report using the platform for improved payer-provider communication, thereby aiding in streamlined approvals and quicker discharge planning.

Reducing Length of Stay While Maintaining Quality

Length of stay (LOS) in hospitals has long been a focus for financial leaders since it directly impacts bed availability and operational efficiency. Health systems are under constant pressure to optimize LOS without sacrificing care quality. Interviews conducted by KLAS revealed that Xsolis clients credit the Dragonfly platform with enabling them to reduce LOS and improve care alignment.

Unlocking New Tools for Enhanced Patient Experience

Healthcare automation is pivotal in refining processes across the board. A variety of innovative tools are emerging to improve patient engagement. From pre-tax benefit plans to remote therapeutic monitoring (RTM) programs, practices now have access to resources that streamline workflows and increase patient satisfaction. AI phone agents, HIPAA-compliant automation, and medical billing recovery systems are essential tools that foster practice efficiency, allowing staff to focus on patient care rather than administrative tasks. Additionally, voice AI agents help in patient interaction, ensuring that no missed calls curtail potential engagement opportunities.

Actionable Insights for Independent Practices

For independent physicians and healthcare practitioners, the key to thriving in the current landscape lies in leveraging advanced tools that drive operational efficiency. Exploring options such as voice AI solutions and automated compliance tools can lead to significant cost savings while enhancing the patient experience. Furthermore, engaged patients are more likely to return for services, thereby fostering growth and sustainability for independent care providers.

Looking Ahead: The Future of AI in Healthcare

With the increasingly complex healthcare landscape, aligning technology and care delivery will be crucial. As AI continues to evolve, so will the opportunities it presents. Technologies like Dragonfly may soon streamline more aspects of healthcare delivery, leading to even greater optimizations in medical billing, patient management, and provider efficiency. Staying informed and adaptable will be essential for healthcare providers looking to harness these capabilities.

As AI technologies reshape healthcare delivery, practitioners must not only stay abreast of these innovations but also assess their integration into daily operations for maximum benefit. By focusing on enhancing communication and optimizing revenue cycles, healthcare providers can improve patient satisfaction and their bottom line.

Now is the time for healthcare providers to embrace AI in their practices. By investing in technology that aids collaboration and efficiency, they can position themselves for a sustainable future in healthcare.

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09.11.2025

Video-Assisted Surgery: A Game-Changer for Lung Cancer Survival Rates

Update Survival Rates Soar with Video-Assisted Surgery for Lung Cancer Recent findings from the World Conference on Lung Cancer (WCLC) in Barcelona point toward a significant advancement in surgical techniques for early-stage lung cancer. Video-assisted thoracoscopic surgery (VATS), a minimally invasive approach, has shown a remarkable improvement in overall survival rates compared to traditional open lobectomy, according to a meta-analysis encompassing nearly 1,200 patients across three countries. The results suggest that VATS could be the key to enhancing patient outcomes while minimizing surgical complications. A Closer Look at the Evidence Led by Jacie Jiaqi Law, MSc, from the Royal Brompton and Harefield Hospitals in London, the meta-analysis revealed that patients undergoing VATS experienced a 21% reduction in overall risk of death when compared to those who had open lobectomy. This statistic, represented by a pooled hazard ratio (HR) of 0.79 (95% CI 0.65-0.96), is significant and indicates the potential shift in surgical practice. Notably, despite the difference in overall survival rates, there was no marked difference in disease-free survival rates between the two groups, which had a pooled HR of 0.91 (95% CI 0.75-1.12). Why VATS is Changing the Game VATS is changing the lung cancer surgery landscape not just because of the improved survival rates but due to its minimally invasive nature. Dr. Ayumi Suzuki, MD, PhD, emphasized that the majority of surgeries at her institution are now video-assisted. This shift indicates a growing confidence among surgeons in using VATS and the recognition of its benefits, including less postoperative pain, lower complication rates, and faster recovery times, all of which can significantly enhance a patient’s quality of life. The Need for More Research Despite the encouraging results, experts like Law stress the importance of further research. Although this meta-analysis represents a consolidation of data from several studies, there has not been a sufficiently powered randomized controlled trial (RCT) that focuses specifically on long-term survival outcomes related to VATS lobectomy. Future studies are crucial in determining the long-term benefits, particularly concerning lung cancer-specific survival, as current findings mainly focus on overall survival and non-cancer-related outcomes. Beyond Survival: Broader Implications of VATS This surgical technique’s advantages extend beyond survival benefits. Law pointed out that VATS tends to lead to fewer readmissions and decreased rates of complications, such as infections and renal issues. These factors not only contribute to individual patient outcomes but could also have broader implications for healthcare systems striving to reduce costs associated with postoperative care and prolonged recovery times. What This Means for Healthcare Providers For healthcare professionals, the findings urge a reconsideration of surgical approaches for lung cancer treatment. Providers are encouraged to explore VATS as a first-line option, owing to its proven benefits in improving overall survival rates without compromising disease-free survival. Furthermore, as healthcare continues to evolve towards more patient-centered practices, adopting VATS aligns with current trends focused on enhancing patient wellbeing and satisfaction. Future Directions and Considerations As healthcare continues to shift with technological advancements, it's crucial to stay informed about the best practices for surgical innovation. The move towards minimally invasive surgeries reflects a larger trend in healthcare that emphasizes evidence-based practices aimed at optimizing patient outcomes. Staying updated with clinical research updates and attending conferences like the WCLC can provide essential insights for clinicians looking to advance their surgical skills. Conclusion: A Call to Action for Healthcare Innovation As evidence mounts in favor of video-assisted surgery, healthcare professionals are called to prioritize its integration into routine surgical practice for lung cancer treatment. These advancements not only promise better survival rates but also aim to enhance patient care. It is crucial for healthcare providers to remain proactive in embracing such practices, ensuring they are well-informed and prepared to implement these changes for the benefit of their patients.

09.11.2025

Big Bend Regional Medical Center's New CFO: Transforming Healthcare Finance

Update Big Bend Regional Medical Center Welcomes New CFO In a significant move for the healthcare landscape in Alpine, Texas, Big Bend Regional Medical Center has appointed Tim Matney as its new Chief Financial Officer (CFO). Matney's extensive experience, spanning more than three decades in hospital finance and executive leadership, positions him well to navigate the complexities of modern healthcare finance. The Impact of Experienced Leadership in Healthcare Matney joins the facility from Taylor Regional Hospital in Campbellsville, Kentucky, where he held the CFO position, showcasing a proven track record in managing healthcare finances effectively. This appointment follows a broader trend within hospital leadership focusing on experienced individuals capable of enhancing operational efficiency during challenging economic times. In a setting where the healthcare sector continually evolves due to legislative changes and fluctuating medical costs, having a seasoned executive can bring stability and innovative strategies. Healthcare Finance Trends Making Waves With the transition to new leadership at Big Bend Regional Medical Center, it’s important to recognize the larger landscape of healthcare finance. Current discussions about Medicare reimbursement, insurance underpayments, and the increasing reliance on technology underscore the transformation happening within the sector. As outdated billing practices fall by the wayside, new approaches emerge, making space for advancements like healthcare automation and telehealth revenue. Engaging tools such as patient engagement tools and clinic cost savings initiatives are becoming essential to keep independent practices thriving amidst economic pressures. The Importance of Remote Therapeutic Monitoring As hospitals like Big Bend integrate contemporary solutions to enhance patient care, remote therapeutic monitoring (RTM) programs are gaining traction. These programs are instrumental in improving patient outcomes while simultaneously optimizing practice revenue. For independent providers, adopting RTM and similar healthcare business tools can lead to benefits such as improved patient adherence to treatment plans, thereby reducing costs associated with readmissions and further complications. Strategic Changes for Financial Health Implementing strategic changes is paramount for healthcare facilities, especially in smaller clinics and independent practices. The evolving financial environment has led to increased interest in medical billing recovery strategies, addressing insurance underpayments, and improving cash flow. For example, practices can leverage AI phone agents to handle billing inquiries, reducing staffing burdens while enhancing customer service and compliance with HIPAA regulations. Systematic Improvements for Sustainable Growth More than ever, healthcare leaders must focus on systematic improvements and sustainable growth. With healthcare becoming increasingly complex, tools that facilitate medical office workflow and practice automation are vital. Such innovations equip providers with resources to enhance operational efficiency, ultimately benefiting patient care. Supporting Independent Pharmacy Growth Through Leadership The appointment of a knowledgeable CFO at a medical center can also wield influence beyond traditional hospital walls, impacting adjacent sectors like pharmacy. Independent pharmacies, in particular, face unique challenges such as pharmacy profitability and independent pharmacy growth. Effective financial leadership can help address these challenges, devising strategies that align with evolving patient needs. Considering initiatives like pre-tax benefit plans or employee health benefits could foster a healthier work environment and superior patient service. Conclusion: Why Leadership Matters As we transition through this era of healthcare innovation and reform, the leadership decisions made today will pave the way for tomorrow's healthcare successes. The integration of experienced leaders like Tim Matney will no doubt influence the trajectory of Big Bend Regional Medical Center and small practices across the nation as they strive to meet the evolving healthcare demands of their communities. Now is an opportune moment for independent providers to take proactive steps, ensuring they harness tools and strategies that will support patient care while optimizing their financial health.

09.11.2025

Oracle Health's Innovative AI Tools Target Payer-Provider Friction

Update How Oracle Health is Reducing Payer-Provider Friction with AIOracle Health has launched an exciting suite of AI-powered tools designed to minimize the notorious friction between healthcare providers and payers. Unveiled during the Oracle Health and Life Sciences Summit on September 11, these innovative solutions aim to transform how administrative tasks are handled within the healthcare sector by streamlining processes such as prior authorization, eligibility verification, and claims management.The healthcare industry grapples with staggering administrative costs, estimated at around $200 billion annually. Many of these costs stem from manual processes and convoluted regulatory requirements. With this new suite, Oracle Health seeks to automate much of the data handling associated with these tasks, thereby accelerating response times and reducing the likelihood of costly errors.Transforming Administrative ProcessesAmong the standout features are a prior authorization agent, eligibility verification agent, and multiple claims processing tools, all designed to work seamlessly within provider workflows. By embedding payer-specific rules in real-time, these tools enhance claim accuracy from the get-go, ultimately leading to quicker reimbursements. Seema Verma, executive vice president and general manager of Oracle Health and Life Sciences, emphasized that these solutions are not just about reducing administrative complexity; they are also about improving accuracy and lowering costs for both providers and payers. This is a significant development for independent physicians, nurse practitioners, and urgent care clinic directors who often deal with nested complexities in billing and insurance processes.The Value of Healthcare AutomationAs healthcare continues to evolve towards more automated solutions, understanding the benefits of these innovative tools can greatly enhance practice efficiency. With advancements in healthcare automation, providers can expect smoother operations that facilitate better patient engagement and improved financial outcomes. By integrating AI solutions, practices can save valuable time and resources that can be redirected towards patient care. In particular, technologies such as voice AI agents and patient engagement tools bolster communication, allowing healthcare teams to be more responsive to patient needs, thereby improving satisfaction and retention rates.Financial Implications: Saving Money While Improving CareFor independent pharmacies and small practices, the financial implications of adopting these AI systems can be game-changing. From reducing missed calls to optimizing billing processes for Medicare reimbursement, the emphasis on cost-effectiveness cannot be overstated. In an era where managing costs is crucial, investing in practice automation represents a strategic move to ensure practice sustainability. Implementing these healthcare business tools also allows for navigating through challenges like insurance underpayments and compliance issues, providing greater financial insight and control.The Future: Embracing Technological ChangeWith the rapid advancement of healthcare technology, embracing these changes becomes essential for those in the medical field. The future is bright for healthcare providers who not only adapt to but actively seek out new tools to enhance workflow. The shift towards AI-driven solutions represents not just a technological evolution but also a cultural shift in how healthcare is delivered. By prioritizing practice revenue optimization through technology, independent providers can carve a niche that minimizes administrative burdens, ultimately leading to improved patient care.Conclusion: Why Stakeholders Should EngageAs the healthcare landscape shifts towards more integrated technology solutions, there has never been a better time for physicians and healthcare leaders to engage with these innovations. At the heart of this transformation is the need to streamline processes and ensure a better interaction between payers and providers. Whether you are a nurse practitioner, an urgent care clinic director, or an independent pharmacist, embracing these developments will be critical for advancing your practice and ultimately benefiting patient outcomes. To stay ahead, explore how you can integrate these AI tools into your operations today.

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