MGMA Webinar: Reinventing the Revenue Cycle with Ai, Analytics, & New Benchmarks
Healthcare revenue is bleeding margin. Learn how AI, analytics & ruthless performance benchmarks can stop the waste before system flatline.
The One Big Beautiful Bill Act (OBBBA) sets aside $50 billion between 2026 and 2030 to transform rural healthcare through the Rural Health Transformation Program (RHTP) (U.S. Senate Finance Committee, 2025). But here’s the catch: the funds don’t go directly to hospitals — they go to states. That means rural facilities must prove their value and sustainability to state leaders before the money trickles down.
So how can a rural hospital stand out in this competitive landscape? By combining two approaches: advocacy and Effective Intelligence® technology to streamline the revenue cycle.
OBBBA’s Rural Health Transformation Program emphasizes:
State applications that highlight these goals are more likely to be approved. Hospitals that can show alignment with these priorities will be in the best position to benefit when the money is distributed.
Even the best technology won’t help if your hospital isn’t on your state’s radar. Rural administrators need to be proactive:
Hospitals that adopt data and technology platforms can:
This is where MedEvolve’s Effective Intelligence® platform becomes your key differentiator.
Instead of relying on outdated metrics like Days in A/R or Clean Claim Rate, hospitals can now measure true operational efficiency and waste reduction using modern benchmarks rooted in workflow data and automation performance. These next-generation standards—developed from millions of revenue cycle transactions—redefine what “success” looks like in healthcare finance. By using leading insights and benchmarks established by MedEvolve, hospitals can demonstrate not just compliance, but data-driven fiscal readiness — exactly what state evaluators under OBBBA want to see.
When meeting with state leaders or submitting proposals, your operational metrics are your advocacy tools.
For example:
This kind of language signals to policymakers that your hospital is already achieving the goals OBBBA seeks to fund — data-driven efficiency, workforce optimization, and long-term solvency.
Effective Intelligence® doesn’t just automate work — it quantifies value. By tracking every touch, task, and denial, rural hospitals can uncover:
For example, MedEvolve clients have achieved:
These aren’t efficiency statistics — they’re proof points that tell a funding story grounded in data.
The hospitals that thrive in the OBBBA era will be the ones that turn their revenue cycle into a policy-ready performance engine. By pairing advocacy with Effective Intelligence®, rural hospitals can show state leaders that they’re not only essential — they’re financially intelligent, operationally efficient, and technologically prepared for the next decade of healthcare transformation.
The One Big Beautiful Bill Act is forcing RCM executives to change “The way we’ve always done it”. We’ve put together a real-world RCM Survival Guide based on what’s working right now for providers facing the same threats. From reducing bad debt to maximizing staff effectiveness and automating financial clearance, as well as insurance & patient A/R —this is the playbook for navigating what’s next. Access the survival guide now and future-proof your margins.
This webinar presented by Matt Seefeld shows how to activate MedEvolve benchmarks—zero-touch rate, first-touch payment rate, and touches-to-resolution—using advanced, never-before-seen real-time reporting with our Effective Intelligence® Analytics. See exactly how to spot wasted touches and under-performers, process those issues in seconds, and turn those insights into measurable margin gains. If your reporting can’t do this today, you’re already behind.
Effective Intelligence combines Patient Financial Clearance Automation, Medical Billing Workflow Automation, and Real-Time RCM Analytics in a cloud-based platform designed to integration with your current EMR/PM technology to measure the effectiveness of your RCM staff.
Review and assess your practice’s financial status in 5 min or less and know exact where you are losing money and why. Measure the work effort of every revenue cycle employee, incentivize and retain your top performers, and help employees that need improvement.
You can prevent most common denials, rejections and write-offs during the scheduling and pre-registration process in advance of the appointment. Configure checkpoints and use central task management to quickly clear patients and keep your front office staffing needs at a minimum.
As team members log in to the web-based application and record each “touch” of a claim, outcome, and next task, key data points are recorded like who completed the task and when, outcome, task notes, internal / external messages sent, collection success and other data points that feed into our real-time analytics.
Reduce RCM labor dependence with financial clearance, insurance A/R, & patient A/R automation modules with real-time analytics.
Increase productivity and simplify front & back office processes while keeping your staff focused with our flagship PM system.
Healthcare revenue is bleeding margin. Learn how AI, analytics & ruthless performance benchmarks can stop the waste before system flatline.
Under OBBBA, you as a healthcare executive are being forced to change “the way we’ve always done it.” With more uninsured patients seeking medical help and fewer federal dollars to
In this episode of Disruption/Interruption, Matt shares how generative AI and a focus on human accountability can help providers achieve “zero touch” claims, reduce waste, and improve access to care,
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