Healthcare providers are under unprecedented strain from rising claim denials, staffing shortages, and mounting margin pressures. To help meet these challenges, AGS Health, a leading provider of tech-enabled RCM solutions and a strategic growth partner to healthcare providers across the U.S., has introduced a new suite of agentic digital workforce solutions powered by AI agents and intelligent automation.
“Labor-intensive processes, fragmented RCM ecosystems, and continuously shifting payer rules have put healthcare finance leaders at a disadvantage,” said Patrice Wolfe, CEO of AGS Health. “CFOs are now dealing with alarming denial trends and significant financial threats that demand new strategies led by a collaborative digital RCM workforce built for scalability and engineered for impact. Through agentic AI, AGS Health empowers healthcare leaders with digital agents that work alongside their teams, taking on autonomous tasks and recommending data-driven next steps to improve decision-making.”
83% of organizations saw claim denials reduced by at least 10%.
68% reported improved net collections.
39% saw cash flow increase by more than 10%.
A New Class of Digital RCM Workforce
“AGS Health is answering the call for change with AI agents that level the playing field for overburdened RCM teams,” said Thomas Thatapudi, CIO of AGS Health. “Our next-generation, AI-infused workforce solutions bring speed, agility, accuracy, and human-like decision-making to critical RCM functions such as eligibility verification, prior authorizations, denials management, and appeals.”
AGS Health was recently recognized with a UiPath AI25 Award for its pioneering use of agentic AI to help healthcare organizations reduce the financial impact of denials. Its digital workforce features AI agents that understand natural language, adapt to changing rules and workflows, and make autonomous decisions to drive measurable business outcomes, including fewer denials and higher clean claim rates.
Key benefits include:
Financial: Faster reimbursement and lower cost-to-collect
Operational: Improved staff efficiency and focus on high-value work
Quality: Fewer errors in coding, data entry, and appeals
The Hybrid Intelligence Advantage
While AI systems can act autonomously, RCM professionals remain central to a successful digital workforce model. Skilled specialists help train and refine the AI, driving strategy while maintaining oversight and accountability.
“Our hybrid intelligence model combines AI’s speed, accuracy, and scalability with human expertise and empathy,” added Thatapudi. “AI agents manage high-volume tasks while professionals handle exceptions and guide continuous improvement. This can be achieved in-house domestically or through our globally distributed workforce model to reduce operating costs and allow for 24/7 production schedules.”
By preparing work, surfacing insights, and managing exceptions, AGS Health’s AI agents empower RCM teams to make smarter, faster decisions without compromising quality.
Email continues to be the lifeblood of communication in healthcare. From coordinating care among clinical teams to sharing lab results and scheduling appointments, email is a fast, familiar, and fully integrated part of nearly every workflow. Yet, the very convenience that makes it indispensable also makes it one of the riskiest points of exposure for patient information and organizational security.
In healthcare, the impact of an email breach goes beyond just financial loss. A misaddressed email, an incorrect attachment, or a single successful phishing attempt can compromise sensitive information, including diagnoses, lab results, and personal identifiers. These details are extremely valuable to cybercriminals, posing risks such as identity theft, fraudulent insurance claims, and tampered medical records that can directly impact patient safety and well-being.
The Shift from Technical Exploits to Human-Centric Attacks
Cybercriminals are increasingly shifting away from complex technical exploits and instead using personalized deception tactics. Recent research indicates that over half (58%) of phishing websites now utilize unidentifiable phishing kits, such as Evilginx, Tycoon 2FA, and 16shop, that are difficult to detect and are increasingly powered by AI. These kits enable cybercriminals to create highly personalized attacks that exploit both technology and human behavior, allowing them to bypass traditional security measures.
Business Email Compromise (BEC) remains a significant threat, with 82% of attacks involving impersonation of CEOs or senior leaders. This tactic is used to pressure employees into transferring funds or revealing sensitive information. Additionally, the targeting of specific regions is changing, with Danish, Swedish, and Norwegian executives increasingly vulnerable, alongside traditional English-speaking targets.
Malware: A Persistent Threat
Malware continues to heighten risks, with Lumma Stealer identified as the leading malware strain. It spreads through attachments or links from compromised cloud services. The malware-as-a-service model is particularly appealing, as it offers cost-effective access and support for both inexperienced and experienced attackers. This approach lowers the barrier to entry while maintaining high effectiveness.
Phishing lures are carefully designed to exploit human behavior. Financial incentives, urgency appeals, and account updates are the primary components of most malicious messages. Open redirects and compromised websites conceal the ultimate destination, making links appear legitimate, while PDFs, often embedded with QR codes, remain the most common vector for attachments.
These attacks are not random but carefully orchestrated to harvest sensitive data — at scale.
Human Error: The Weakest Link
Despite the sophistication of various cyber threats, human error remains the weakest link in cybersecurity. Healthcare professionals operate in high-pressure environments, balancing the demands of patient care with administrative tasks. In these situations, it’s easy to mistakenly send an email to the wrong recipient, mislabel an attachment, or click on a link that seems legitimate.
Additionally, healthcare organizations often rely on external partners for scheduling, billing, and communications, which involve handling protected health information (PHI). If a vendor is compromised, the covered entity remains responsible for the breach and its consequences.
This interconnectedness underscores why email security should not be viewed solely as an IT issue; it is a top organizational priority.
Beyond Perimeter Defenses: A Human-Centric Approach
Mitigating email risk requires more than just perimeter defenses. While encryption, multi-factor authentication, and phishing filters are essential, they are not enough on their own. These tools need to be complemented by user-focused safeguards that provide staff with real-time assistance. Practical measures include recipient confirmation prompts, content alerts when potentially harmful information is detected, and in-the-moment security reminders. These mechanisms serve as checkpoints, helping to prevent mistakes before they happen.
Training is also crucial, but it needs to be ongoing and integrated into daily workflows, rather than being limited to annual modules. Short, bite-sized lessons, simulated phishing exercises, and reminders that are embedded in workflows help reinforce awareness, ensuring that staff keep security in mind even under pressure. When security awareness is woven into daily operations, it becomes second nature for everyone involved.
The Role of Technology in Enhancing Email Security
While human-centric approaches are essential, technology also plays a crucial role in enhancing email security. Advanced email security solutions can detect and block malicious attachments, links, and impersonation attempts before they reach users’ inboxes. Machine learning algorithms can analyze email patterns and behaviors to identify anomalies indicative of phishing or business email compromise (BEC) attacks.
Furthermore, integrating email security with other systems, such as endpoint protection and identity management, creates a layered defense that can respond more effectively to threats. This holistic approach ensures that even if one layer is bypassed, others remain in place to protect sensitive information.
Legal and Regulatory Implications
The legal and regulatory landscape surrounding email security in healthcare is complex and continually evolving. Organizations must comply with regulations such as the Health Insurance Portability and Accountability Act (HIPAA), which mandates the protection of protected health information (PHI). A breach resulting from an email-related incident can lead to significant legal consequences, including hefty fines and damage to reputation.
Moreover, patients trust healthcare organizations to safeguard their personal information. Protecting email communications is not just a legal obligation but is necessary to maintain patient trust.
Practical Steps for Healthcare Organizations
Healthcare organizations can implement several practical steps to enhance email security:
Implement Advanced Email Security Solutions: Utilize email security tools that can detect and block malicious content, impersonation attempts, and phishing attacks.
Educate and Train Staff: Provide ongoing training for staff on recognizing phishing attempts, securely handling sensitive information, and following best practices for email communication.
Establish Clear Policies: Develop and enforce policies regarding the use of email for transmitting sensitive information, including guidelines for encryption and authentication.
Monitor and Respond to Threats: Continuously monitor email traffic for signs of suspicious activity and have a response plan in place for addressing potential incidents.
Collaborate with Third-Party Vendors: Ensure that third-party vendors handling PHI adhere to the same security standards and practices to mitigate the risk of breaches.
Conclusion
Ultimately, protecting email in healthcare is not merely a compliance requirement; it is a critical aspect of ensuring patient safety. It is central to preserving patient trust, safeguarding clinical integrity, and ensuring uninterrupted care delivery. Each secure message helps prevent identity theft, fraudulent claims, and mismanaged records, directly supporting our mission to put patients first.
As cyber threats evolve and human error remains persistent, healthcare organizations must adopt strategies that combine robust technology with human-centered approaches. By doing so, they can reduce both accidental and malicious breaches, protecting the information that matters most, the health and safety of patients.
Electronic health record (EHR) systems now serve as the central nervous system of modern healthcare. They streamline documentation, bring care teams together and give providers sharper tools to protect patient safety and deliver consistent, coordinated care. Yet when it comes to real-time communication, many clinicians and administrators are hitting the same wall: embedded EHR messaging tools often fail to deliver reliable, accountable communication.
If you’ve ever waited hours to find out whether an urgent message got through—or had to track down the right on-call colleague because your EHR didn’t know who was available—you know exactly what’s at stake. In clinical environments, a missed or delayed message isn’t just an inconvenience; it can alter patient outcomes.
This gap between documentation and communication is widening, and healthcare leaders need to take notice. The question is not whether EHRs are valuable—they are—but whether their messaging features are sufficient for modern care. Increasingly, the answer is no.
What Are the Limitations of EHR Chat Tools?
On paper, built-in EHR chat features sound efficient. Clinicians already live inside the record system, so why not communicate there too? But integration does not equal effectiveness. Instead of providing clarity and accountability, these tools often create confusion and delay. In practice, they function more like message drop boxes than intelligent communication systems.
Three critical shortcomings appear consistently:
No escalation path. If a message goes unanswered, it may sit idle indefinitely. Without automated escalation, critical alerts can languish unseen, delaying time-sensitive interventions.
Lack of prioritization. A minor scheduling note looks identical to a stat lab result. When every message appears equally urgent, alert fatigue sets in, and critical updates risk being overlooked.
Unclear accountability. EHR chat rarely offers reliable read receipts or visibility into who is on shift. Clinicians are left guessing whether a message was received or acted upon, often triggering redundant outreach and wasted effort.
Together, these weaknesses illustrate why relying solely on EHR-native chat creates dangerous blind spots in care delivery. Messages may also land with staff who are off duty, in surgery or away from devices, further blurring accountability and delaying care.
The Tangible Costs of Communication Gaps
In healthcare, weak communication goes beyond being an operational nuisance and rises to the level of a clinical liability. When urgent updates are delayed or overlooked, the consequences ripple across patient care, compliance and workforce wellbeing. These challenges aren’t theoretical; they play out daily in hospitals, clinics and practices of every size. The impact shows up in four critical ways:
Delayed treatment. Even short lapses in communication can delay diagnostic or therapeutic decisions, directly affecting patient outcomes.
Compliance exposure. Without audit-ready logs showing delivery and acknowledgment, organizations face increased regulatory scrutiny, legal challenges and financial penalties. Documentation gaps can be just as dangerous as clinical ones.
Clinician burnout. A nonstop stream of notifications—many of them non-urgent—creates emotional exhaustion and disengagement. When every ping feels the same, providers struggle to focus on patient care.
Many teams rely on a patchwork of EHR messaging, texts, personal apps and phone calls. This fragmented ecosystem forces clinicians to chase information instead of delivering care.
The evidence is clear: weak communication slows processes, undermines efficiency, increases liability and compromises patient safety.
What Should Practices Demand from Communication Platforms?
Acknowledging the limits of EHR chat is only the first step. The next step is defining what strong communication should look like. Abandoning EHRs isn’t the answer—they remain essential for documentation and data-driven care. But expecting them to double as robust communication platforms is unrealistic. The smarter approach is to augment EHRs with purpose-built communication tools designed for clinical urgency, accountability and sustainability.
Key features to prioritize include:
Automated escalation. No message should remain unanswered. Escalation workflows reroute alerts to backup providers, ensuring patient coverage isn’t compromised.
Role- and shift-based routing. Messages must reach the right provider, at the right time, without guesswork. Intelligent routing tied to schedules and specialties reduces errors and delays.
Unified communication hub. Text, voice and alerts should flow through one secure platform, reducing fragmentation and providing a single source of truth. Smart prioritization. Tiered alerts or AI-driven filters can separate urgent clinical updates from routine messages, protecting clinicians from notification fatigue.
Boundary controls. Systems must support off-hour protection, silencing non-urgent pings while ensuring true emergencies break through.
Audit-ready tracking. Every message should carry a transparent trail—delivered, read, acknowledged, acted upon—helping meet compliance requirements and supporting legal defensibility.
Seamless integration. Platforms should plug into existing EHRs, calendars and on-call schedules, reducing complexity rather than adding to it.
When practices implement these capabilities, the result is more than streamlined workflows. It becomes a safety net that supports both clinicians and patients.
Communication as a Clinical Imperative
Clear and reliable communication is just as vital to patient care as maintaining accurate records or delivering timely diagnostics. Every message that fails to reach its destination introduces risk into the system. Every delay adds unnecessary stress to already overburdened providers.
Healthcare leaders must treat communication as a strategic investment. Just as EHRs transformed documentation, intelligent communication platforms can transform collaboration and care delivery.
Imagine a future where:
Urgent results automatically route to the right provider and are acknowledged.
Teams no longer juggle six different apps just to keep track of updates.
Clinicians leave shifts confident that non-urgent issues won’t intrude on their off hours.
Patients benefit from faster, safer interventions because the right signals reach the right person, on time.
The change represents both an efficiency upgrade and a cultural shift toward sustainable, accountable, patient-centered care.
A Call to Action
Physicians, nurses, administrators and system leaders each have a role to play. For providers, the need is immediate. Your ability to deliver care depends on communication you can trust. For administrators and executives, the mandate is equally urgent. Your compliance posture, risk exposure, and workforce sustainability hinge on closing this gap.
The bottom line is clear: EHRs are indispensable, but they are not enough. Thriving in modern healthcare requires communication platforms purpose-built for the urgency, accountability and precision of clinical practice.
Better communication supports better care, safeguards providers, strengthens organizations and builds a more resilient healthcare system. By investing in smarter communication, healthcare leaders can create an environment where clinicians thrive, patients receive timely interventions and the entire care continuum moves with greater confidence and clarity.
Inspired eLearning, powered by VIPRE, a global leader and award-winning cybersecurity, privacy, and data protection company, today announced the launch of its new Simulations Lab. This groundbreaking course is designed to equip learners with practical, hands-on experience to identify and react to the most prevalent email phishing, vishing, and SMiShing attacks.
In an era of escalating AI-powered threats, sophisticated social engineering attacks frequently bypass technical defenses. The Simulations Lab empowers an organization’s workforce to become a crucial line of defense, which can be the difference between a close call and a costly data breach.
The Simulations Lab Experience
The Simulations Lab offers organizations a powerful way to build a smarter, savvier security force. By fostering superior information retention through randomized practice and an active, engaging learning methodology, the platform ensures an investment that yields enduring benefits beyond typical Security Awareness Training programs alone. Simulating real workplace scenarios enhances a learner’s ability to apply security best practices effectively.
The platform’s research-driven, purpose-built content connects simulations to real-life scams, while gamified elements and continuous interactions keep learners engaged and motivated to improve. By equipping every employee with the mindset to evade today’s advanced adversaries, the Simulations Lab transforms a company’s workforce into a robust and essential layer of defense.
John Trest
“Technical defenses are essential, but the human element remains the most targeted and critical layer of security,” said John Trest, Chief Learning Officer and Strategic Product Manager, at Inspired eLearning. “With the Simulations Lab, we are giving organizations the tools to turn that potential vulnerability into a powerful strength. We are empowering employees to become the most effective protectors of their organization’s intellectual property, customer data, and sensitive health records.”
By actively fostering a cybersecurity-conscious culture, organizations can demonstrate their commitment to security and inspire their entire team to become a formidable defense against cyberattacks.
About Inspired eLearning
Inspired eLearning powered by VIPRE is a VIPRE Security Group brand and part of Ziff Davis Inc. As part of VIPRE Security Group, an award-winning global cybersecurity, privacy and data protection company, we are committed to delivering eLearning solutions of the absolute highest quality, ones which don’t simply check a box, but which drive positive and measurable changes in organizational culture as well.
We deliver solutions that help clients nurture and enhance workforce skills, protect themselves against cyberattacks and regulatory violations, and maximize the return on their investment in organizational training with our eLearning for employees.
PaperCut, a leading print management and document workflow solutions company, today announced the global launch of PaperCut MF 25. This significant release introduces advanced scanning capabilities, extends support to new environments, and delivers a major architectural uplift to enhance security, stability and scalability for the future.
PaperCut MF 25 provides a powerful mix of innovation and infrastructure, empowering businesses to work faster, support a wider range of environments, and build a more secure foundation for their IT infrastructure.
“This release is about helping our customers and partners solve today’s challenges while future-proofing their technology stack,” says Matt Coad, Head of Self Hosted Software at PaperCut. “The new features in 25 enable more automated and efficient document workflows, while the core infrastructure upgrades lay the groundwork for a more secure and robust platform for years to come.”
Key features and benefits of PaperCut MF 25
Smarter scanning with Advanced Scan Actions
PaperCut MF’s Advanced Scan Actions transforms basic scans into actionable data by enabling users to capture crucial metadata directly at the multi-function device (MFD). Customers can now seamlessly integrate scanned documents into systems like ERP, E-MDS, and CMS, automating processes and minimizing manual intervention. This feature allows partners to offer a more comprehensive solution that addresses complex document workflow needs.
Expanded support for diverse environments
PaperCut MF 25 extends its Advanced Scan to Fax functionality to two critical segments:
Advanced Scan to Fax for Linux: Organizations committed to Linux can now integrate secure, intelligent faxing directly from their MFDs. This new functionality eliminates the need for separate servers or complex workarounds, reducing operational overhead and aligning with Linux-centric IT strategies. This opens up a new segment of the market for our partners, enabling them to offer a complete solution to Linux-first organizations.
Advanced Scan to Fax for Lexmark: The solution is now available directly on Lexmark MFDs, eliminating the need for separate hardware. This integration provides a unified, intuitive user experience and offers a more secure, efficient, and cost-effective solution for advanced faxing needs.
Major infrastructure and security upgrades
PaperCut MF 25 includes a significant infrastructure upgrade with updates to Java 21, Spring 6, and other core dependencies. This major architectural uplift improves long-term security, stability, and scalability by closing vulnerabilities (CVEs) and ensuring the platform is ready for future innovations.
Availability
PaperCut MF 25 is available now. Existing customers can upgrade to take advantage of these new features and security enhancements. For more information, please visit the official PaperCut website or contact your local PaperCut Authorized Partner or Reseller.
The healthcare workforce shortage is a problem with serious consequences. Facilities are under pressure to balance safe staffing with rising overtime costs, expensive temp labor, and clinician burnout.
By 2037, the Bureau of Health Workforce projects a shortfall of more than 200,000 registered nurses (RNs) and 300,000 licensed practical/vocational nurses (LPNs/LVNs).
What is a healthcare staffing marketplace?
A healthcare staffing marketplace is a digital platform that connects medical facilities directly with qualified clinicians who are ready to work. Unlike traditional staffing agencies that act as middlemen, marketplaces use algorithms, credential verification systems, and smartphone apps to streamline how shifts are posted and filled.
For many facilities, staffing marketplaces are becoming a strategic complement to existing workforce management systems by helping facilities respond to census fluctuations, emergencies, and unexpected call outs without relying exclusively on high-cost agency contracts.
Why healthcare staffing marketplaces?
Healthcare facilities face a perfect storm: rising patient demand, too few licensed clinicians, and escalating labor costs.
Traditional staffing agencies lack the ability to respond quickly to staffing needs, leading to the rise of online staffing marketplaces.
These marketplaces offer a more convenient, transparent alternative. Facilities can post staffing needs quickly, access real-time scheduling options, and leverage staffing marketplace features that streamline operations and onboarding.
What to look for in a staffing marketplace
When evaluating a platform, administrators should consider a few key factors:
Skillset coverage: Does the marketplace offer RNs, LPNs/LVNs, CNAs, and unit specialties like ICU, medical-surgical, or ER?
Candidate pool: How many clinicians are active, and are they reliable?
Quality and compliance: What systems exist for background checks, license verification, and training?
Reliability: What are the fill rates, and how are no-shows or cancellations handled?
Pricing model: Is it a transparent and pay-as-you-go model or subscription-based with additional costs?
Support: Does the platform provide real human or regional support for facilities?
These criteria form the backbone for comparisons between healthcare staffing marketplaces.
Top healthcare staffing marketplaces
Each platform has its own strengths. Some focus on workforce optimization, others on shift fulfillment, allied health, or long-term placements. Among them, Nursa stands out for transparent pricing, a broad clinician pool, and ease of use.
Below is a comparison of leading options against the criteria outlined earlier.
Nursa: Best overall
Nursa stands out for speed, transparency, and adaptability. Operating in more than 30 states, it connects facilities with a network of over 300,000 clinicians, including RNs, LPNs/LVNs, nursing assistants, medication aides, and respiratory therapists.
Facilities can build custom credential lists, use ShiftReady to design onboarding courses, and post shifts visible to clinicians in real time.
The model is strictly pay-as-you-go—no subscriptions, startup costs, or hire-away fees—giving administrators total budget control.
Reliability is strengthened through clinician ratings and “Favorites” lists, which simplify rebooking trusted clinicians, plus on-the-ground regional support teams and seven-day human chat assistance.
Clipboard Health: Best for allied health coverage
Clipboard Health connects facilities not only with nurses but also allied health professionals like therapists, dietary staff, and environmental services, making it useful for diverse staffing needs.
Features include rate negotiation, geo-tracking for attendance, and auto-reposting of canceled shifts. Pricing is per completed shift, with optional boost fees to attract talent faster.
For support, entry-level customers get general service lines, while higher-tier clients gain access to dedicated account managers.
SnapCare: Best for workforce optimization
SnapCare is a staffing marketplace and workforce optimization tool. Facilities can forecast needs with the Booker tool, manage compliance and invoicing, and track turnover risks with analytics.
Pricing is transparent on pay and travel, with extra fees for recruitment and supplier management.
Clipboard Health: Best for allied health coverage
Clipboard Health extends beyond nursing, connecting facilities to allied health professionals such as physical therapists, dietary staff, and environmental services. That breadth makes it attractive to facilities with diverse staffing gaps.
The platform allows rate negotiation between facilities and clinicians, offers geo-tracking for attendance verification, and auto-reposts canceled shifts.
Pricing is per completed shift, with optional “boost” fees to attract talent faster.
While the flexibility of shift price negotiation appeals to many (particularly clinicians), it can slow down time-to-fill. Support is mostly digital, without the local teams offered by some competitors.
SnapCare: Best for workforce optimization
SnapCare positions itself as both a staffing marketplace and a workforce optimization tool. Facilities can use the Booker tool to forecast staffing needs, opt in to managed services for invoicing and compliance, and leverage workforce analytics to spot turnover risks.
Its transparent pricing covers pay rates and travel costs, though extra fees apply for recruitment and supplier management.
Reliability depends on facilities adopting its full suite, which may increase cost but can reduce long-term dependence on contingent labor. Support is available 24/7 by phone or online.
ShiftMed: Best for enterprise health systems
ShiftMed is a large platform for hospitals, long-term care centers, and multi-site systems. It offers a national clinician pool, mobile-first shift posting, and digital MSP services for compliance and billing.
Pricing is pay-per-shift with extra enterprise fees. Its wide network supports high fill rates, with account managers for enterprise clients, though smaller facilities may find it less personalized than leaner competitors.
Other honorable mentions
There are several other healthcare staffing companies that have transitioned to providing online services. Here’s a quick look at the major players.
Aya Healthcare
Aya Healthcare is one of the largest U.S. staffing firms, known for travel nurse contracts and permanent placements. More agency than marketplace, its nationwide scale appeals to facilities needing specialized or long-term staff.
AMN Healthcare
AMN Healthcare is a leading agency offering short-term, travel, and permanent staffing, plus tools like predictive analytics and vendor management. However, its agency model lacks the speed and on-demand flexibility of marketplaces.
The future of healthcare staffing is online
Staffing in healthcare is changing quickly. Facilities can’t depend solely on agencies or overtime to cover gaps. The best nurse staffing platforms offer facilities faster clinician access, greater transparency, and cost control—benefits that are reshaping workforce management.
According to Precedence Research, the U.S. healthcare staffing market—valued at $19.47 billion in 2024—is expected to more than double by 2034. That kind of growth signals that online platforms aren’t a temporary fix; they’re becoming essential infrastructure.
Among the platforms compared, Nursa rises to the top.
Its flexible pay-as-you-go pricing, customizable credentialing, ShiftReady onboarding, real-time shift fulfillment, and strong human support give facilities a solution that meets today’s staffing challenges while preparing them for tomorrow.
MDaudit, an award-winning cloud-based continuous risk monitoring platform for RCM that enables the nation’s premier healthcare organizations to minimize billing risks and maximize revenues, has finalized its acquisition of Streamline Health Solutions, Inc., a leading provider of solutions that enable healthcare providers to improve financial performance. The addition of Streamline’s pre-bill integrity solutions to its robust billing compliance and revenue integrity platform positions MDaudit to bridge crucial RCM gaps, thereby mitigating billing compliance risks and strengthening and streamlining the revenue cycle.
First announced in May, the acquisition brings together two healthcare RCM powerhouses supporting healthcare organizations with a combined net patient revenue of more than $300 billion. The companies’ shared belief in centering customer satisfaction while leveraging the latest technologies converges into a powerful platform capable of meeting head-on the revenue cycle realities confronting organizations in today’s complex healthcare environment.
Ritesh Ramesh
“Navigating the unrelenting financial and operational pressures of the current revenue cycle landscape requires a strategic approach to revenue cycle management, one in which real-time data, AI, analytics, and automation provide an uninterrupted view across the revenue cycle continuum,” says Ritesh Ramesh, CEO of MDaudit. “This acquisition allows us to provide healthcare organizations with the data- and AI-driven solutions they need to implement an effective, resilient, and adaptive RCM strategy.”
The award-winning MDaudit platform streamlines healthcare revenue integrity using augmented intelligence. It rapidly analyzes billions of rows of data, monitors coding, billing, and payment processes, and uses AI-powered tools to democratize insights and automate workflows. Benchmarking helps identify charge capture and denial issues, while retrospective audits drive staff education to prevent errors.
Streamline Health’s RCM solutions empower healthcare providers to manage and optimize their revenue streams more efficiently. Its suite of comprehensive solutions focuses on pre-bill charge and coding integrity, ensuring that all charges and coding are accurate before billing and payment. By preventing lost revenue and minimizing denials, Streamline Health enables providers to secure the reimbursement they deserve.
Cain Brothers, a division of KeyBanc Capital Markets, acted as exclusive financial advisor to Streamline, which is now a private company and wholly owned subsidiary of MDaudit. Troutman Pepper Locke LLP served as Streamline Health’s legal counsel. Goodwin Proctor, LLP served as legal counsel to MDaudit.
Marchex (NASDAQ: MCHX), which harnesses the power of AI and conversational intelligence to drive operational excellence and revenue acceleration, today announced the release of its new AI-powered healthcare solution designed for health systems, large ambulatory care facilities, and healthcare marketing organizations. This release equips these organizations with data that more accurately attributes marketing-driven patient leads, prioritizes high-value appointments, and provides alerts for critical patient engagement challenges.
As health systems strive to increase new patient acquisition and manage rising expectations amid growing operational complexity, they need more than call transcripts, summaries, and generalized AI. Marchex’s Healthcare AI Solution addresses this need by transforming unstructured conversation data into structured, contextual insights and recommended actions. This combination helps healthcare organizations improve operational efficiency, focus on appointments and actions with the highest potential impact, and optimize marketing campaigns for improved performance.
Marchex’s Healthcare AI Solution transforms patient conversations into actionable insights, including:
Post-Call Data: Measure patient conversion and fallout rates over time, and across different areas of the patient journey to make more informed decisions.
Actionable Insights: AI-driven insights that reveal why patients book and don’t book—such as appointment availability, pricing, insurance acceptance, lack of specific services offered, and more.
Marketing Optimization: Leverage healthcare-specific lead and appointment rate models to drive down the cost-per-lead for each channel and improve automated bidding.
Targeting and Attribution: Refine targeting strategies with detailed insights into which campaigns and channels perform best. Leverage advanced marketing attribution for patient leads and outcomes with the highest potential revenue impact.
“Marchex’s new healthcare solution delivers intelligence that better understands patient communication across their care journey with greater speed and precision,” said Edwin Miller, CEO of Marchex. “We empower leaders to respond proactively at scale across complex, single and multi-location health organizations to improve patient satisfaction and accelerate growth.”
Designed to Produce Outcomes Marchex’s Healthcare AI Solution provides advanced conversation analytics, understanding of patient intent, and enabling precise lead attribution and validation of marketing results. The Solution converts unstructured patient interactions into trackable insights, helping teams identify patient trends, make data-driven campaign adjustments, and maximize return on ad spend.