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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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THE THREE LEVELS OF RCM TECHNOLOGY L1 DASHBOARDS L2 ALERTS L3 EXECUTION Dashboards Alerts Execution FROM DIAGNOSTIC DASHBOARDS TO AUTONOMOUS EXECUTION
RCM Strategy · Autonomous Execution

Stopping the Balance Sheet Bleed: The Move From Analytical Dashboards to Level 3 RCM Autonomous Execution

Commercial payers run denial algorithms at machine speed. See why analytical dashboards and rules-based alerts can't close the gap, and how Level 3 autonomous execution recovers unworked denials and underpayments without adding headcount.

DENIAL EXECUTION SCORECARD DENIED / YEAR $262B across U.S. healthcare claims UNWORKED 65% of denials never resubmitted ANKA EXECUTES 30–60% lower cost to collect, agentic AI FROM DASHBOARD ALERTS TO RESOLVED CLAIMS
RCM Strategy · AI Execution

The AI Execution Layer for Healthcare RCM

Stop managing hospital claim denials and start resolving them. Every year, $262 billion in U.S. healthcare claims get denied, and most are never reworked. Anka Health closes that gap with an execution layer that drafts, files, and tracks appeals directly inside payer portals, backed by outcome-based pricing, not another dashboard.

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

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, and 60% of denials go permanently unworked as a result. Here's how a true execution layer, not another dashboard, closes that gap and goes live in as little as four weeks.

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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