Healthcare Administration
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AI That Pays: Lessons from Revenue Cycle โ Nathan Wan, Ensemble Health
AI Engineerยท 2025-07-24 16:15
Healthcare Industry Challenges - 40% of hospitals operate at a negative margin due to broken revenue cycle processes [1] - Healthcare administration has increased 30-fold in the past three decades, while clinicians have barely doubled, indicating growing complexity [11][12] - 20% of the GDP is attributed to the healthcare system, with a large proportion being the administration of healthcare [9] Revenue Cycle Management (RCM) & AI Opportunity - Revenue cycle management (RCM) refers to the financial process of the patient's journey within the healthcare system [3] - AI has a big opportunity to shift resources from bureaucracy towards clinical care by addressing inefficiencies in RCM [16] - Ensemble Health Partners estimates a large amount of the cost associated with healthcare is related to friction in communication between payers, providers, and patients [14] Ensemble Health Partners' Approach - Ensemble Health Partners is an end-to-end RCM organization with 14,000 employees, providing a unique lens into inefficiencies throughout the entire process [2][3] - Ensemble Health Partners uses its EIQ platform to bring together multiple data formats within a single platform to address the challenges of unstructured data scattered across systems [33][34] - Ensemble Health Partners has seen a 40% reduction in time in the clinical appeal process by using GenAI [30] - Ensemble Health Partners aims to build a smarter, more coordinated system to reduce waste in the overall revenue cycle process [37]
Marpai(MRAI) - Prospectus
2023-08-23 12:32
Table of Contents Registration Statement No 333- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-1 REGISTRATION STATEMENT As filed with the Securities and Exchange Commission on August 23, 2023 UNDER THE SECURITIES ACT OF 1933 Marpai, Inc. (Exact name of Registrant as specified in its charter) Delaware 8090 86-1916231 (State or other jurisdiction of incorporation or organization) (Primary Standard Industrial Classification Code Number) (I.R.S. Employer Identification Number) 6 ...