Tag: patient access curator

For healthcare providers, claim denials are a constant drain on revenue and staff capacity. Jason Considine, President at Experian Health, sees three ways artificial intelligence (AI) can break this cycle: by preventing avoidable errors, prioritizing high-value resubmissions and using data insights to reduce denials over time.

Revenue cycle management (RCM) teams are facing a year of major change, with new regulations, tighter margins and the adoption of artificial intelligence (AI) increasing the pressure on workflows. This article outlines Experian Health’s five RCM predictions for 2026, along with tools to consider when building a resilient revenue cycle.

Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the One Big Beautiful Bill Act (OBBBA), which will bring major changes to Medicaid.

Nearly two-thirds of healthcare providers now use artificial intelligence (AI) in their revenue cycle management (RCM) processes, according to Experian Health’s latest survey. Discover key insights on AI’s evolving role in healthcare, including barriers and top use cases.

Manual insurance eligibility checks are slow, error-prone and a leading cause of claim denials. Find out how automated insurance verification delivers real-time accuracy, fewer billing errors and faster reimbursements — helping providers protect revenue and improve patient care.

Denial management is the process of addressing why healthcare claims are rejected or denied, instead of resolving them after they occur. This article explores denial management strategies, why outdated processes fail and how AI-driven solutions can help reduce denials and streamline workflows.

Top reasons for healthcare claim denials include missing or inaccurate data, lack of prior authorizations, and incomplete patient registration.

Experian Health’s 2025 High-Performance Summit was a catalyst for collaboration, innovation and a shared commitment to simplifying healthcare – for both providers and the patients that they serve.

As the healthcare industry prepares for the implementation of the One Big Beautiful Bill Act (OBBBA), it’s clear that readiness is not one-size-fits-all. Hospitals are leading the way, but most providers will need focused updates to their Medicaid/Medicare processes to ensure compliance and protect revenue. In October 2025, Experian Health surveyed 200 healthcare decision-makers to get a better understanding of their readiness levels, where they’ll be impacted and what they’re focusing on, following implementation of the OBBBA. Here are the results:  To prepare for incoming changes from the OBBBA, revenue cycle leaders will need to accelerate their adoption of artificial intelligence (AI) and automated solutions. AI-powered tools, like Patient Access Curator, can help providers streamline insurance eligibility checks and improve claims accuracy. Other tools, like  Patient Financial Clearance, can help providers support their patients, and minimize risks from uncompensated care. Is your revenue cycle team ready for OBBBA? Join us for an engaging and actionable three-part live webinar series to learn how to protect your financial performance before 2026 reforms take effect. Save your spot > Find out how Experian Health's revenue cycle management solutions can help your healthcare organization navigate upcoming regulatory shifts and changes.  Learn more Contact us