The play:
Measure zero touch rate.
Identify wasted touches.
Fix front-end registration first.
Demand financial outcome tracking from AI vendors.
RevCycle isn't a cost center problem.
It's a data problem.
Full episode is already on Slice of Healthcare.
4/ The AI Mirage
Matt's issue with most AI RevCycle vendors:
They automate the work but don't track the financial outcome.
Autonomous coding sounds great until the claim gets denied.
If the AI doesn't learn from denials, you're just automating bad process.
6/ The Real Crisis
Rural hospitals are closing. Physicians are retiring early. Med school applications are down.
Not because of clinical quality.
Because administrative waste is killing margins.
Matt's point: You can't fix patient experience if the hospital goes out of business.
3/ The Front-End Problem
55% of manual touches are caused by mistakes made BEFORE the service is rendered.
Wrong insurance on file. Missing authorization. No deposit collected.
The claim gets denied. A human has to fix it. The cycle repeats.
Fix registration, fix RevCycle.
Two weeks ago I recorded a podcast with Matt Seefeld, CEO of @MedEvolve.
He's spent 25 years in healthcare consulting (Deloitte, PwC) and built three revenue cycle companies.
His take: Most health systems are overstaffed by 40-60%.
Here's what nobody's measuring:
2/ Wasted Touches
Matt's software captures every human interaction with a claim.
The data: 65-89% of touches don't result in payment.
They're avoidable. They don't change the outcome. They just burn labor.
If you have 100 people in RevCycle and 80% of touches are wasted, you need 20 people.
1/ The Zero Touch Rate
This is the percentage of claims that get paid without any human involvement.
Most health systems don't even track it.
Matt's data shows the average is around 52%.
That means 48% of claims require manual work just to get paid.
Full episode is live on Slice of Healthcare (website, Spotify, YouTube and Apple Podcasts)
This is what AI-native healthcare actually looks like. Not automation. Not chatbots.
Real clinical care that extends beyond the four walls of the hospital.
Finally.
The CHF readmission rate has been stuck at 20-22% for 20 years.
20 years. Same problem. Despite billions spent.
2 out of every 10 heart failure patients end up back in the hospital.
Just had Caroline Hodge from @Dimer_Health on @SliceofHC for the second time. Here's what she's building:
The CMS team care model could mandate this infrastructure nationally.
Every hospital would suddenly need post-discharge clinical capacity.
Caroline's response: "They knew we were coming."
That's founder confidence.