Latest news with #revenueCycleManagement
Yahoo
10 hours ago
- Business
- Yahoo
FinThrive Introduces Agentic AI at HFMA 2025 to Help Customers Transform Healthcare Revenue Cycle Management Performance
Company to also highlight advancements in denials and underpayments management and speak to the measurable impact of RCM technology adoption DENVER, June 22, 2025 /PRNewswire/ -- FinThrive, Inc., a leading healthcare revenue management software-as-a-service (SaaS) provider, will have a significant presence at the 2025 Healthcare Financial Management Association (HFMA) Annual Conference, which will take place June 22-25 in Denver, Colorado. With high-profile speaking engagements, live demonstrations of cutting-edge solutions, and Agentic AI-driven innovation, FinThrive will showcase how its revenue cycle management platform helps healthcare organizations modernize operations, reduce friction and more strategically and proactively recover revenue. Advancements in Artificial Intelligence – Agentic AI FinThrive is expanding its suite of AI, machine learning (ML), generative AI, and robotic process automation (RPA) tools with the launch of Agentic AI capabilities, a next-generation innovation in healthcare revenue cycle management. Unlike traditional revenue cycle automation tools that rely on predefined rules, agentic AI introduces intelligent digital agents capable of autonomous decision-making, dynamic workflow optimization, and complex task execution. These capabilities enable providers to recover revenue faster, reduce operational friction, and adapt to payer behavior in real time. FinThrive's differentiated approach leverages broad integration across revenue cycle workflows, scalable payer connections, and a real-time data fabric layer that continuously analyzes trends to support optimized execution. In addition to Agentic AI, FinThrive incorporates AI Machine Learning, Generative AI and RPA across its platform to optimize the revenue cycle from cash flow forecasting to prior authorization determination to expediting contract loading. FinThrive's cloud infrastructure and data lake allow for a broad array of use cases to be delivered and enhance existing RCM solutions. FinThrive leverages a broad integration across revenue cycle workflows, scalable payer connections, and a real-time data fabric layer that continuously analyzes trends for optimized execution. This differentiated approach ensures agentic AI delivers not just automation, but intelligent, enterprise-wide transformation across revenue operations. Agentic AI delivers significant advantages across the revenue cycle by enabling intelligent, autonomous operations. It allows digital agents to prioritize accounts, flag incomplete documentation, and apply real-time coding corrections. Complex tasks like payer rule adjustments, eligibility checks, and prior authorization determinations are streamlined through end-to-end automation. The system continuously learns by monitoring payer behavior, integrating feedback loops, and refining execution strategies dynamically – this reduces manual workloads, boosts staff productivity, and enables teams to focus on higher-value activities. At the same time, Agentic AI strengthens compliance by ensuring all documentation and AI-generated content align with regulatory standards. Agentic AI is a key element of a new intelligent data platform FinThrive is launching at the HFMA Annual Conference. This future-ready foundation is the modern operating system for revenue cycle transformation, bringing AI, analytics, and automation together to deliver faster insights, greater accuracy, and measurable performance improvement. By embedding intelligent decision-making and automation across the entire revenue lifecycle, FinThrive will empower healthcare organizations to operate more efficiently, recover revenue faster, and adapt at scale in an evolving payer environment. Agentic AI is only one component of a comprehensive, tech-forward infrastructure FinThrive will launch tomorrow at the conference. This exciting innovation establishes FinThrive as the modern foundation for exponential value creation in healthcare revenue operations, enabling AI, automation, and analytics to work better, faster, and at scale. As FinThrive continues to innovate, multiple AI-driven agents are slated for release in the future. FinThrive's commitment to redefining revenue cycle management through Agentic AI empowers providers to work smarter, recover revenue faster, and drive operational excellence. RCMTAM: Modernization with Measurable Impact During a breakout presentation titled, Connecting RCM Technology Adoption & Modernization Patterns to Financial Performance, Evan Goad, FinThrive's Chief Growth Officer will be joined by Mike Vigo, Chief Revenue Cycle Officer at UC San Diego Health, to share how leading organizations have utilized the results of the RCMTAM in the past year, highlight best practices for financial improvement and what they see for the future of the technology modernization journey. Developed in partnership with HFMA, the RCMTAM is the industry's first company-agnostic benchmarking model designed to help providers assess and prioritize technology investments. Since its launch in late 2023, more than 150 organizations have completed the RCMTAM assessment, with two achieving the coveted Stage 5 level, signifying end-to-end optimization and advanced revenue intelligence. The presentation will occur on June 23 from 3:00 to 3:50 p.m. at Mile High 2A & 3A. Onsite Debut: Denials & Underpayments Analyzer Attendees will also get a first look at FinThrive's new Denials & Underpayments Analyzer. The AI-powered tool helps providers convert payer data noise into actionable financial insights, pinpointing denial patterns, underpayment trends, and high-value recovery opportunities. Live demonstrations will be available throughout the event at the FinThrive booth. Visit FinThrive at Booth #631 during HFMA 2025 to explore the latest innovations, connect with our experts and experience what's next in healthcare revenue transformation. About FinThriveFinThrive helps healthcare organizations increase revenue, reduce costs, expand cash collections and ensure regulatory compliance across the entire revenue cycle continuum. Providing one of healthcare's most comprehensive revenue cycle management SaaS platforms, FinThrive's holistic approach to intelligent revenue management offers patient access, charge integrity, claims management, contract management, AI machine learning, generative and agentic AI, robotic process automation, data and analytics, and education solutions. Three out of five U.S. hospitals and health systems are using FinThrive today. For more information, visit View original content to download multimedia: SOURCE FinThrive, Inc.
Associated Press
28-05-2025
- Business
- Associated Press
Minset Raises Funding to Scale AI Agent That Solves For Healthcare's $400B Revenue Cycle Problem
HealthX Ventures backs Minset's intelligent agent, Mia, to automate claims, denials, and payments across the revenue cycle. BOSTON, May 28, 2025 /PRNewswire/ -- Minset, the company behind the first multi-skilled agentic AI platform purpose-built for healthcare revenue cycle management, today announced a seed funding round led by HealthX Ventures, a leading digital health venture firm. The funding will accelerate product development and scale go-to-market efforts as Minset expands its platform to more healthcare organizations worldwide. As part of this next phase of growth, Minset also announced the appointment of Mike Luessi to lead Growth & Operations. Luessi joins CEO Trey McMillian and CTO Matt Scott, bringing more than 20 years of experience building and scaling high-growth companies. This rounds out an experienced leadership team with deep expertise at the intersection of AI R&D, and scaling complex platforms in healthcare and enterprise technology. 'The investment from HealthX and the addition of Mike to our team accelerates our mission to fix one of healthcare's toughest financial challenges: Revenue Cycle Management,' said Trey McMillian, CEO of Minset. 'We built Minset to end the chaos, not manage it. Our agentic AI platform doesn't just track revenue work, it does the work. Mia, our multi-skilled AI agent thinks, reasons, and acts to get healthcare organizations paid.' Meet Mia: Multi-Skilled Agentic AI That Gets Healthcare Paid Minset is pioneering a new category in healthcare operations: the Autonomous Revenue Cycle (ARC). At the heart of the platform is Mia, Minset's intelligent, multi-skilled agentic AI. Unlike other platforms that rely on a complex mix of orchestrated single-skilled agents and other tools, Mia handles it all. From coding and denials to payments, Mia's got it – no bots to wrangle nor micromanagement required. Mia learns, reasons and resolves revenue cycle issues quickly, helping providers prevent denials, recover revenue, and operate at scale. She works 24/7 and continuously evolves to keep up with payer rules, regulatory shifts, and operational complexity. Helping over 300 healthcare organizations to date, Mia powers three core products: mCoder to automate medical coding, mDenials to manage denials, and m360 for patient engagement (propensity to pay). From hospitals and clinics trying to get paid for the care they provide, to insurers overwhelmed by administrative burden, Mia brings intelligence, speed, fairness, and transparency to healthcare finance. 'We are thrilled to partner with Minset to create cutting-edge AI technology to transform healthcare operations,' said Jan Grimm, CEO of Savista, a leading healthcare revenue cycle management services company. 'Our combined expertise will empower healthcare organizations with smarter, faster, and more efficient revenue cycle solutions. By partnering on AI solutions, including AI agents, we are poised to modernize the RCM space, delivering unprecedented value to healthcare providers.' HealthX Ventures, known for investing in companies modernizing healthcare infrastructure, sees Minset as a step-change in the application of AI to healthcare financial operations. 'Minset isn't automation, it's autonomy,' said Kristi Ebong, Partner at HealthX Ventures. 'This is the first platform we've seen that truly replaces the manual work of the revenue cycle, without requiring providers to rip and replace their core systems. The team is solving a real problem with real AI, and the traction speaks for itself.' 'Traditional systems have hit their ceiling. Minset gives healthcare a new ceiling—or better yet, removes it. It delivers clarity where there was chaos, and outcomes where there were only excuses. They're building what could become the most important financial infrastructure company in healthcare,' said Ebong. The Minset Platform integrates seamlessly with major EHR and claim workflow systems, replacing spreadsheets, queues, and legacy processes, with a multi-skilled AI agent who's always on, always improving, and always delivering outcomes. To learn more, visit Media Contact: Mike Luessi [email protected] About Minset Minset created the first multi-skilled agentic AI platform purpose-built for healthcare revenue cycle management. Designed to think, reason, and act across the entire revenue lifecycle, Minset's platform helps healthcare organizations get paid, automatically, accurately, and at scale. Its suite of intelligent products: mCoder for autonomous medical coding, mDenials for denials management, and m360 for patient engagement, replaces manual work and fragmented tools with one, state-of-the-art agentic AI system. Founded by experts from Google, Microsoft, Optum and Salesforce, and backed by HealthX Ventures, Minset is helping providers reclaim time, reduce burnout, and achieve financial clarity in an increasingly complex environment. To learn more, visit About HealthX Ventures HealthX Ventures is a digital health-focused venture capital firm investing in companies that make healthcare more efficient, affordable, and accessible. The firm partners with founders building scalable, enterprise-grade technology solutions that move the industry forward. Learn more at View original content to download multimedia: SOURCE MInset AI, Inc
Yahoo
23-05-2025
- Business
- Yahoo
New Mountain combines portfolio companies to launch AI revenue cycle firm
This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. New Mountain Capital is combining three of its portfolio companies to create an artificial intelligence-backed revenue cycle management firm called Smarter Technologies, the private equity firm said Monday. The deal merges three companies that received investments from New Mountain this year: Access Healthcare, a revenue cycle management platform; SmarterDx, which uses AI to analyze charts to catch missed billing codes and appeal denied claims; and a company that uses AI agents to handle tasks like checking insurance eligibility, managing prior authorizations and processing claims. Jeremy Delinsky, former chief technology officer at health IT firm Athenahealth and an executive advisor to New Mountain, will serve as CEO of the combined company. Smarter Technologies will serve more than 200 clients, including more than 60 hospitals and health systems, according to a press release. The combined firm is expected to generate more than $800 million in revenue. Individual leaders across each of the three companies will continue to oversee their business units, New Mountain said. The deal aims to offer a 'comprehensive' platform for making health systems' administrative work for managing revenue and billing more efficient, the private equity firm said. AI has become an alluring technology across the healthcare sector, igniting hopes it could alleviate some of the industry's administrative and back-office tasks. 'We recognize that healthcare provider organizations are confronted with growing administrative and operational challenges, and they need a new kind of flexible revenue management platform that brings together the most proven AI technologies with the lowest cost to serve, highest quality global operations platform at scale,' Delinsky said in a statement. The latest rollup by New Mountain comes months after the private equity firm merged some of its other healthcare investments into a new payment accuracy company. In September, the private equity firm said it was combining The Rawlings Group, an analytics firm that finds third parties responsible for paying medical claims, the payment integrity platform of health tech provider Apixio and overpayment identification firm Varis. Then, early this year, New Mountain acquired AI-backed healthcare payments company Machinify to add to the combined firm, which took on the Machinify brand. Healthcare technology has also recently become an increased focus for private equity investors. The value of private equity and venture capital deals in health tech has grown about 50% year over year in 2024, according to a report published last month by S&P Global Market Intelligence. Recommended Reading New Mountain merges Rawlings, Varis, Apixio assets to form payment accuracy firm Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
Bloomberg
20-05-2025
- Business
- Bloomberg
Blackstone Leads Bidding for $1 Billion AGS Health Deal
Blackstone Inc. is emerging as the frontrunner to acquire revenue cycle management provider AGS Health from private equity firm EQT AB, people familiar with the matter said. Blackstone has pulled ahead of other bidders and could reach a deal as soon as the coming days, the people said, asking not to be identified because the information is private. A transaction could value AGS Health at $1 billion or more, according to the people.
