Healthcare Revenue Navigation

U.S. hospitals lost $130+ billion in Medicaid & Medicare underpayments last year.

HRN Group navigates your state's Medicaid managed care system in real time — recovering revenue your team doesn't have time to chase.

Schedule a 30-Minute Data Review

No cost. No commitment. We show you the numbers first.

Source: American Hospital Association, 2023 —

$130B+ in Medicaid & Medicare underpayments to U.S. hospitals
The Problem

Three ways rural hospitals lose
Medicaid revenue every week

These aren't billing errors. They're navigation failures — gaps between what your hospital is owed and what your state's Medicaid managed care system actually pays.

🔍

Eligibility Gaps

Patients coded as self-pay when Medicaid coverage exists — or existed retroactively. Every missed match is a claim that never gets filed.

Often found 30-90 days late
📋

Denial Leakage

30-40% of Medicaid denials are never appealed. Each MCO has different rules, different portals, different filing windows — and your team is juggling all of them.

Multiple MCOs, multiple rule sets
⏱

Filing Deadlines

Filing windows vary by MCO and by state — 90, 120, 150, 180 days. No one is watching every clock. Once a deadline passes, the money is gone.

Deadlines vary by MCO & state
✓

Zero integrations. Zero IT projects. Zero new software.

We work with standard data exports your EHR already produces. No APIs to configure, no systems to connect, no IT tickets to file. Your team sends three files on Monday — we handle the rest.

No integrations No software install No IT involvement Works with any EHR
$50B
in federal Rural Health Transformation funding — all 50 states.
Financial sustainability is the prerequisite for every transformation goal.
The Difference

We don't audit your past. We navigate your present.

Traditional revenue cycle consultants look backward. HRN Group works in real time — catching revenue before it's lost.

Traditional Audit

Looking Backward

→
Reviews data 60-90 days late
→
Finds problems after the money is gone
→
Generic approach — not built for your state's Medicaid
→
Big upfront investment, uncertain ROI
→
Hands you a report and walks away
HRN Real-Time Navigation

Working Forward

✓
Weekly data cycles catch issues in days
✓
Recovers revenue while it's still recoverable
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Built for your state's specific Medicaid MCOs
✓
Performance-based — we earn when you recover
✓
We carry the weekly workload, not your team

Works with your existing EHR — no integrations required

Who We Are

D.C. policy expertise. Rural hospital execution.

David Thorne

HRN Group was built for one purpose: to help rural hospitals recover Medicaid revenue lost to managed care navigation failures — before the deadlines close and the money disappears.

David's career spans Washington, D.C. health policy and hands-on healthcare operations — federal legislative advocacy, Medicaid technology systems at the infrastructure level, and billion-dollar operational integrations at Boeing. He built HRN because this problem requires both policy-level understanding of how Medicaid managed care works and ground-level knowledge of what a 25-bed hospital can actually execute.

Based in Wichita, Kansas, David teaches Digital Transformation at Wichita State University, and founded HRN Group because he saw rural hospitals losing revenue they were owed — not from lack of effort, but from lack of a system built for how Medicaid managed care actually works in each state.

D.C. Health Policy & Legislative Advocacy Medicaid Technology Systems Boeing M&A Integration Wichita State Faculty WBJ Innovator of the Year (multiple)

Ready to see what's in your data?

A 30-minute data review is all it takes. We'll show you whether there's material revenue sitting in your Medicaid claims — before you commit to anything.

Schedule Your Data Review

Free. No obligation. You'll see the numbers first.