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Field notes from the revenue cycle.

Operational playbooks, pattern recognition, and hard-won lessons from working $1B+ in claims. Written by operators, for CFOs, RCM directors, and the people who actually move the numbers.

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CLAIM EXECUTION FUNNEL $262B in Total Denied Claims ~$30B Denied Annually ANALYTICS ONLY 60% never reworked VS ANKA EXECUTION 100% worked autonomously
RCM Strategy

Beyond the AI Pilot Trap: Why RCM Automation Fails to Scale (And How to Fix It)

Hospitals aren't losing money from a lack of data visibility. They're losing it because human billing staff cannot outpace automated payer rejection engines. Here's how an execution layer changes that.

HFMA 2026 Report

Beyond the tipping point: operationalizing the 2026 HFMA Vitalic Health Affordability Report

90% of healthcare executives confirm the current system is financially unsustainable, and 77% project a structural tipping point by 2029. Mid-market and rural providers have 36 months to act.

PE PORTFOLIO · EBITDA RECOVERY +0% BEFORE +18% 90 DAYS +34% AFTER NET REVENUE RECOVERED PER HOLDING
PE Operating Partners

The EBITDA lever most PE firms overlook: backend RCM execution at scale

Portfolio value creation doesn't stop at the deal close. Backend RCM (denials, underpayments, AR follow-up) is leaking 3–8% of net revenue across your holdings. We show exactly where it goes and how to get it back.

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