As healthcare finance leaders put together to collect for the upcoming HFMA Annual Conference, they face a well-known however intensified set of challenges: shrinking margins, rising operational prices, and an more and more advanced reimbursement panorama. This 12 months, nonetheless, a dominant theme emerges from the dialog: the position of Synthetic Intelligence in revolutionizing the income cycle. We requested six healthcare executives for insights on what key themes/tendencies they count on to be probably the most talked at this 12 months’s HFMA Annual Convention.
Ryne Natzke, TrustCommerce, a Sphere firm that gives monetary applied sciences to the nation’s largest well being programs
The HMFA Annual Convention is a good alternative to attach with our companions and study extra about the place the RCM business goes. AI is bringing ahead lots of adjustments, each with merchandise and processes, and I’m trying ahead to seeing the methods the place it continues to get utilized to assist enhance the affected person monetary expertise.
Michelle Durbin, Supervisor, Resolution Administration for Ventus, Altera Digital Well being
I feel that AI will likely be one of many most important matters of curiosity once more this 12 months, as most healthcare organizations wish to use AI and robotic course of automation (RPA), however many nonetheless aren’t positive the best way to begin to maximize their ROI. Within the income cycle world, denials are skyrocketing. Organizations ought to leverage these applied sciences to rapidly rework denials as soon as acquired and even predict and stop denials outright. Analysis means that as much as 65% of denials are by no means resubmitted, which interprets to misplaced income and missed alternatives to spend money on affected person care and course of enhancements. On the flip aspect, using AI opens new potentialities for safety threats. Healthcare leaders should do their due diligence to attenuate these dangers whereas maximizing effectivity and accuracy within the income cycle by means of AI and RPA.
Anurag Mehta, CEO & Co-Founder, Omega Healthcare
As healthcare leaders convene for the upcoming HFMA Annual Convention, I count on AI [AI, GenAI, Agentic AI] to be within the highlight as a strong engine that’s revolutionizing income cycle administration (RCM). In a latest Everest Group examine, an amazing majority (85%) of senior healthcare executives surveyed consider AI will considerably enhance efficiencies in RCM operations over the following 5 years. We’re trying ahead to assembly with healthcare leaders to debate how we can assist them leverage AI-enabled options to boost operational and monetary efficiency.
Frank Forte, CEO, EnableComp
At this 12 months’s HFMA, hospital and well being system leaders aren’t simply in search of fast fixes — they’re in search of clear solutions on the best way to navigate a reimbursement panorama that’s solely getting extra advanced. Conventional RCM methods can’t sustain. Executives wish to know the best way to adapt, the place to take a position, and which companions can convey the analytics, regulatory perception, and automation wanted to thrive. The reply lies in collaboration. With the fitting strategic partnerships, organizations can cut back denials, improve money move, and set up a extra resilient income cycle.
Ralph Keiser, CEO, ArcheHealth
This will likely be my first HFMA convention in a number of years, however I’m positive that monetary leaders are nonetheless going through most of the identical ongoing challenges round rising prices and diminishing reimbursements. With the emergence of AI-based options, I anticipate loads of discussions about methods organizations can deploy applied sciences that spotlight course of inefficiencies, allow proactive efficiency administration, cut back prices, and assist create sustainable margin development.
Kevin Freeman, Chief Business Officer, Well being Catalyst
As we head into HFMA, I’m planning to listen to daring concepts and significant conversations about navigating a few of the hardest challenges we’re going through, together with shrinking margins, growing regulatory complexity, the looming influence of Medicaid cuts, and an exhausted workforce. Healthcare organizations are nonetheless grappling with all of this, usually with out the sources or technical infrastructure they want. Expectations are rising, and these organizations want help to satisfy calls for head-on.
