The Patient Is a Payer Now. Nobody Built Them a Revenue Cycle.
Payers and providers get AI-enabled rev cycle machines that improve their financial performance.
The patient gets a mailbox full of confusing bills, EOBs, and benefits alerts.
Americans paid $557B out of pocket in 2024. HDHPs, HSAs and ICHRA keep moving the first dollar onto individuals. The patient isn't a bystander to the revenue cycle anymore. The patient is a payer without a payer's machines.
That's about to change and the goalposts are moving. The goal isn't more disputes. It's accurate, efficient, low-fee payments.
Here’s what payment integrity looks like for the patient and why it matters.