Add Row
Add Element
cropper
update

Provider Impact

update
Add Element
  • Home
  • Categories
    • Medicare + RTM
    • Pharmacy Insights
    • Provider Spotlights
    • HR & Staff Benefits
  • Featured Business Profiles
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.

Provider Spotlights

5 Views

0 Comments

Write A Comment

*
*
Related Posts All Posts
12.15.2025

Is Nursing Weighing You Down? Exploring Obesity Among Nurses

Update Why Nurses Struggle with Weight: The Job's Hidden TollThe demanding nature of nursing is well-documented. With long shifts, short staffing, and the constant pressure to care for patients, it's understandable that many nurses might turn to food for comfort. This reality is echoed in a recent article highlighting that more than half of nurses fall into the overweight or obese categories according to the American Nurses Association's HealthyNurse Survey. Yet, the stigma around obesity often leads to misconceptions that place blame on personal choices rather than the inherent challenges of the occupational environment.The Vending Machine Trap: A Nurse's DilemmaPicture this: another 12-hour shift has left you exhausted. The break room options? A vending machine filled with sugary snacks and processed foods. In an environment where time is scarce, nurses often lack access to nutritious meals. As one cited source states, shift work, especially night shifts, can upend normal eating patterns, making the prospect of a balanced diet feel impossible. Instead of fresh salads, we might find ourselves devastated by the lack of healthy options and succumbing to fatigue with a hurried fast-food meal or sugary snack.Addressing Invisible Stigmas: Obesity in HealthcareLinking nursing and obesity is often fraught with discomfort. Many in the profession have experienced, either firsthand or indirectly, how stigmas can influence treatment and support. Understanding obesity as a chronic disease rather than a personal failure can empower nurses to seek help without fear of judgment. The nursing field itself often profits from the idea that healthy living is easy — but with irregular hours and the demands of patient care, this becomes a Herculean task.Support Systems: Key to Healthier OutcomesThe discussion around nursing and obesity is also one about support systems. Just as nurses provide care for their patients, they need encouragement from workplace environments that prioritize wellness. Innovative workplace strategies like healthy food options and structured breaks can significantly impact a nurse's overall health. Hospitals and organizations that recognize this and implement supportive measures help pave the way for healthier lifestyles. Simple steps, like introducing healthier snacks in break rooms and ensuring available time to eat properly, can lead to significant changes in a nurse’s health.Long-term Solutions: Strategies for Nursing HealthFor those navigating these challenges, creating realistic, achievable health goals is essential. Nurses should consult healthcare professionals who understand the complexities of obesity. This could mean working with dietitians for personalized meal plans or utilizing wellness programs offered in healthcare settings. Engaging in frequent discussions about food choices and physical activity during team meetings can also foster a supportive culture. It is vital for nursing leaders to lead by example by promoting their wellness journeys and emphasizing self-care.Conclusion: Redefining Our Role as Healthcare ProvidersUltimately, the responsibility of maintaining health falls on both individual nurses and their healthcare institutions. A crucial question arises: Can an overweight nurse still serve as an effective health role model? The answer should be a resounding yes. Every nurse's experience is valuable in understanding the challenges of weight management, which means we must approach the topic with empathy and support. It’s time to foster a culture within healthcare that prioritizes wellness for all, creating environments where healthcare providers can thrive both physically and mentally.As the nursing field continues to evolve, addressing weight and health should be a shared priority. Hospitals and healthcare professionals must assess their systems to ensure that all staff members have access to the resources they need to care for themselves, just as they care for their patients. Together, we can shift the narrative surrounding nursing and weight, creating a healthier future for all healthcare providers.

12.14.2025

Understanding the Safety of Menopausal Hormone Therapy for BRCA Carriers

Update Recent Evidence on Menopausal Hormone Therapy and BRCA Carriers For many women, navigating the decisions surrounding hormone therapy during menopause can be especially intimidating, particularly for those with BRCA mutations. Insights from the recent San Antonio Breast Cancer Symposium (SABCS) are shedding light on this important subject. Presented by Dr. Joanne Kotsopoulos from Women's College Hospital and the University of Toronto, new research has demonstrated that menopausal hormone therapy (MHT) does not increase the risk of breast cancer in women carrying BRCA mutations. The findings reveal that women utilizing estrogen-only MHT showed a significantly reduced risk of breast cancer—only 12.9% of them developed the disease, compared to 18.9% of those who did not undergo hormone replacement therapy. This aligns with broader studies that investigate the health management of high-risk women, emphasizing the necessity of personalized approaches. Understanding the Impact of Menopause Induced by Surgery Women with BRCA mutations face an elevated lifetime risk of breast and ovarian cancer, often leading to early surgical interventions such as oophorectomy, which induces menopause. This not only brings about distressing symptoms but may also exacerbate long-term health risks related to cardiovascular health and bone density. As Dr. Kotsopoulos noted in her presentation, there remains a crucial need to explore both short-term and long-term impacts of induced menopause, ensuring improved quality of life for these women. Evidence-Based Insights for Management Strategies The new research builds on existing knowledge that warns against the combination of estrogen and progestogen MHT, which has previously been linked to increased breast cancer risks, particularly from the Women's Health Initiative. However, in this new study involving 19,000 women, there was no observed harmful effect from combined hormonal therapy among BRCA carriers, presenting a potential shift in how such therapies are perceived across varying demographics. Joanne Kotsopoulos stresses the importance of following evidence-based protocols when treating women dealing with menopause symptoms. With a thorough focus on understanding individual variables—including type of hormone therapy and the patient's age—healthcare providers can better tailor their approaches to effectively manage menopause in BRCA carriers. Future Minimal Risks With Hormonal Treatments Looking ahead, the continued monitoring of this unique cohort promises to provide deeper insights. The longer duration of MHT use correlates positively, leading to a strengthening of the safety profile around hormone therapies. Health experts agree that with careful management and ongoing research, the benefits of MHT, particularly estrogen-only therapy, may outweigh risks in younger patient populations. Community Impact and Education The conversation surrounding hormone replacement therapy and higher risks related to breast cancer is essential for community education. As more women become aware of these findings, it is crucial for healthcare providers to engage in open dialogues, empowering patients with knowledge about their choices. This not only aids in alleviating fears but also advocates for a reassessment of guidelines previously set forth regarding hormone therapies. The discourse at the SABCS serves as a reminder that, while caution remains necessary, there is potential for advancements in how we approach menopause management techniques, encouraging BRCA carriers to feel supported in their treatment journeys. Your Role in Empowering Women’s Health As a healthcare provider, staying informed on the latest medical news and studies about MHT can significantly aid your practice. Joining discussions around clinical breakthroughs and exploring the needs of your patients may help develop better hybrid approaches tailored for individualized care. Attend relevant conferences, continue your education, and keep track of evolving medical guidelines to ensure that your patients have access to the safest and most effective treatment options. Knowledge is empowerment—enable it!

12.13.2025

Preparing for Winter Virus Season: Insights on Flu, RSV, and COVID-19

Update The Calm Before the Storm: Are We Prepared for Winter's Virus Surge? As the winter season progresses, healthcare professionals across the United States are closely monitoring the activity levels of influenza, RSV, and COVID-19. Despite a noticeable increase in respiratory symptoms among the public, recent data indicates that influenza activity remains relatively low, especially when compared to the previous year’s alarming statistics. Last flu season saw hospitalization rates skyrocket, marking it as the highest since the H1N1 pandemic 15 years ago. This year, however, public health officials are optimistic but cautious about the impending winter virus season. Tracking the Numbers: What the CDC Says The Centers for Disease Control and Prevention (CDC) recently reported that flu activity is currently categorized as high in only four states: Colorado, Louisiana, New Jersey, and New York. While severity indicators are on the rise, they remain within the “mild” season threshold. Interestingly, other illnesses such as norovirus, which can lead to severe gastrointestinal distress, have seen a trend upward in cases over the past month. The CDC’s comprehensive surveillance utilizes metrics from emergency department visits to capture a fuller picture of respiratory illness activity, contributing crucial insights as we navigate the virus-prone winter months. Flu: Still a Major Concern Last year's flu season was notably severe, culminating in the tragic loss of 288 pediatric lives, a number echoed from the tumultuous 2009-2010 flu pandemic. Most concerning is the widespread presence of the A H3N2 strain, which has historically resulted in increased hospitalizations, especially among older adults. Alarmingly, 89% of the current H3N2 infections are from a new variant known as subclade K—differences that may cause reduced effectiveness of this year’s flu vaccines. As a result, vaccination rates remain critically important. So far, about 42% of adults and 41% of children have received the flu shot this year. Experts recommend that vaccination remains vital, even late in the season, to mitigate severe cases and hospitalizations. RSV's Unpredictable Path: A New Approach? The respiratory syncytial virus (RSV) poses significant risks, especially to infants and the elderly. Traditionally, RSV peaks during the winter months of December and January, but this year, activity appears to be on the rise later than usual. While reported cases are still low, experts like Dr. Cameron Wolfe from Duke University predict an uptick in RSV infections may be forthcoming. Notably, advancements in vaccine development for expecting mothers and the elderly, as well as laboratory-created antibodies for infants, may play a role in decreasing the severity and spread of RSV. With around 41% of older Americans and 40% of infants vaccinated against RSV as of October, these developments are encouraging. COVID-19: A Different Landscape COVID-19 activity has also subsided significantly compared to its summer peak. Recent research indicates that the COVID-19 vaccination is efficacious in preventing severe illness among children aged 9 months to 4 years. Despite these benefits, only about 7% of children and 15% of adults have opted for this season’s vaccine, partly influenced by recent shifts in public health messaging. The choice not to recommend COVID-19 vaccinations for healthy children has met resistance from many health organizations, raising concerns about long-term implications for public health. Actionable Insights for Healthcare Providers Healthcare providers should remain vigilant in promoting vaccination as a first-line defense against respiratory viruses. It is crucial to emphasize the importance of timely vaccination and remind patients that while this season may feel mild, the risks enhance as viral activity increases in winter months. The Human Element: Patient Safety and Community Health As the virus season unfolds, maintaining open communication with patients is essential. A human-centered approach that demonstrates empathy and understanding can foster trust and encourage individuals to make informed decisions regarding their health, vaccines, and overall wellness. Concluding Thoughts: Have We Learned from the Past? This season poses both risk and opportunity. With proactive measures, including increased vaccinations and public health education, the tide of the winter virus season can be managed effectively. Providers, healthcare leaders, and public health officials must work collaboratively to ensure that communities are equipped to face potential challenges.

Terms of Service

Privacy Policy

Core Modal Title

Sorry, no results found

You Might Find These Articles Interesting

T
Please Check Your Email
We Will Be Following Up Shortly
*
*
*