Tag: patient access

Revenue cycle management (RCM) teams are facing a year of major change, with new regulations, tighter margins and the adoption of artificial intelligence (AI) increasing the pressure on workflows. This article outlines Experian Health’s five RCM predictions for 2026, along with tools to consider when building a resilient revenue cycle.

Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the One Big Beautiful Bill Act (OBBBA), which will bring major changes to Medicaid.

Nearly two-thirds of healthcare providers now use artificial intelligence (AI) in their revenue cycle management (RCM) processes, according to Experian Health’s latest survey. Discover key insights on AI’s evolving role in healthcare, including barriers and top use cases.

Manual insurance eligibility checks are slow, error-prone and a leading cause of claim denials. Find out how automated insurance verification delivers real-time accuracy, fewer billing errors and faster reimbursements — helping providers protect revenue and improve patient care.

Experian Health’s 2025 High-Performance Summit was a catalyst for collaboration, innovation and a shared commitment to simplifying healthcare – for both providers and the patients that they serve.

When it comes to artificial intelligence (AI) usage in the healthcare industry, adoption is steadily gaining momentum as providers explore new ways to utilize this technology in their revenue cycle management (RCM) processes. While full trust in AI remains limited, especially for high-stakes decision-making, confidence is rising. Privacy, security, and implementation costs continue to pose significant challenges. However, providers broadly agree that AI will become a cornerstone of healthcare RCM in the next few years, especially in areas like eligibility verification and patient access. Many also acknowledge that human oversight will remain essential, to ensure accuracy and trust. In October 2025, Experian Health surveyed 200 healthcare leaders to better understand how much they trust AI for decision-making, their biggest barriers to adoption, and where the opportunities lie. Here are the results: AI in healthcare RCM isn’t the future; it’s happening now. Learn how healthcare organizations are using Experian Health’s AI technology to streamline patient access and reduce claim denials. Learn more Contact us

In this guide to healthcare revenue cycle management, learn how healthcare organizations can optimize the revenue cycle process at every stage of the patient journey to increase reimbursements and improve operational efficiency.

AI and automation are transforming the claims management process. By streamlining workflows and minimizing errors, these technologies can help providers reduce denials, enhance operational efficiency and improve patient access to care.

AI is reshaping patient access by reducing manual errors and preventing costly claim denials. Tools driven by AI and automation can streamline eligibility checks and coordination of benefits — helping providers improve efficiency, cut costs, and deliver a better patient experience.