How AI Helped a Payer-Provider Boost RAF Scores and Earn $5M More in Capitation Payments—Without Extra Patient Volume: AI-Driven HCC Coding Optimization in Medicare Advantage: A $5M Annual Uplift in Capitation Payments

June 9, 2025

🏥 Introduction In Medicare Advantage (MA), accurate risk adjustment via Hierarchical Condition Category (HCC) coding is crucial for proper reimbursement.…

How AI Helped a California Health System Recover $3.2M from Missed Surgical Charges Without Seeing More Patients: Revenue Recovery Through AI: A California Health System’s $3.2M Breakthrough Without Adding Patient Volume

June 9, 2025

🏥 Introduction Healthcare revenue leakage is a pervasive issue, particularly in high-complexity areas like surgical billing. A 2022 HFMA report…

How AI Helped a Texas Hospital Cut Sepsis Mortality by 22% and Save $1.4M Annually: Early Detection of Sepsis Using AI at a Texas Hospital: A Clinical and Economic Breakthrough

June 9, 2025

🧠 Early Detection of Sepsis Using AI at a Texas Hospital: A Clinical and Economic Breakthrough Sepsis, a life-threatening condition…

How AI Reduced Surgical Delays and Increased OR Efficiency: How a Midwestern Health System Used AI to Optimize OR Scheduling: A 30% Drop in Delays and $750K Revenue Boost

June 6, 2025

In a groundbreaking operational initiative, a large Midwestern health system integrated artificial intelligence (AI) to optimize its Operating Room (OR)…

Transforming Outpatient Care: How AI Scribes Boosted Physician Efficiency and Satisfaction: Transforming Outpatient Care: How Ambient AI Scribes at a New York Hospital Saved Over 2 Hours Daily Per Physician

June 6, 2025

🏥 Introduction In the evolving landscape of healthcare, physicians often grapple with extensive documentation requirements, leading to increased workloads and…

AI-Driven Critical Care: Reducing Intervention Time by 28% Without Added Staff: Implementation of Artificial Intelligence in Critical Care Workflow: A Case Study from a Tertiary Academic Hospital

June 4, 2025

Implementation of Artificial Intelligence in Critical Care Workflow: A Case Study from a Tertiary Academic Hospital Abstract: A large academic…

How to Measure ROI of AI in Healthcare: From Clinical Efficiency to Strategic Value: The ROI of AI in Healthcare: Measuring What Matters Most

June 4, 2025

Redefining ROI in Healthcare AI: How to Measure True Value “Thinking about AI as infrastructure is the right play for…