The future of healthcare is at stake. We cannot afford to keep leaking this much revenue. HRN combines 155.6 million claims, four federal databases, and state-specific intelligence to close the gap — for hospitals and managed care organizations alike.
See What Your Data RevealsNo cost. No commitment. We show you the numbers first.
We built the intelligence engine that turns uncompensated care into revenue. 155.6M claims, four federal databases, and state-specific rules — working your data every week.
Explore Hospital Solutions →Enrollment intelligence that gets the members your plan is missing. Eligible, healthier members are sitting unenrolled — we find them, and help you balance your risk pool.
Explore MCO Solutions →These aren't billing errors. They're navigation failures — gaps between what's owed, what's paid, and who's enrolled. The losses compound on both sides of the table.
Patients coded as self-pay when Medicaid coverage exists — or existed retroactively. 155.6M claims baseline reveals eligibility patterns invisible to single-facility analysis.
Data-driven pattern detection$1.84M in CO-16 'missing information' denials alone at one facility — 55% recoverable. Each MCO has different rules, different portals, different filing windows.
$1.84M in CO-16 denialsFiling 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 & stateTraditional approaches look backward. HRN works in real time — catching revenue before it's lost and identifying growth before competitors do.
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. Our platform combines 155.6 million Medicaid claims, four federal databases, and state-specific intelligence to identify patterns no single hospital can see.
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.
Whether you're a hospital looking for lost revenue or an MCO looking for growth, a 30-minute briefing is all it takes. We'll show you what the data reveals — before you commit to anything.
Schedule Your BriefingFree. No obligation. You'll see the numbers first.