White Papers

Research, analysis, and insights on AI-driven revenue intelligence for rural hospitals, managed care organizations, and the Medicaid ecosystem.

Research & Analysis
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When AI Makes the Problem Worse

What the PHTI Report Means for Rural Health — and the Real Path to Solving Uncompensated Care

📅 April 2026 📄 7 pages ⏱ 9 min read

The Peterson Health Technology Institute just confirmed it on the record: AI is not lowering system-wide healthcare costs — it is raising them. Why generic AI RCM is making rural hospitals the third loser, why MCOs are paying for the same churn, and what an operator-led path forward actually looks like.

PHTI Report Rural Hospitals Uncompensated Care MCO Operations AI RCM
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What Your 835s Are Trying to Tell You

The Behavioral Science of Revenue Cycle Intelligence

📅 March 2026 📄 10 pages ⏱ 12 min read

How cognitive limitations — not staff limitations — drive rural hospital revenue loss. Explores the science of serial vs. parallel processing and what changes when AI can analyze 835 remittance data across all eight dimensions simultaneously.

835 EDI Analysis Cognitive Science Revenue Cycle AI Intelligence
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The $2.4 Billion Problem Nobody's Working

Why Rural Hospital Revenue Recovery Requires a Different Kind of AI

📅 March 2026 📄 12 pages ⏱ 15 min read

Why generic healthcare AI fails at the rural hospital Medicaid problem, and what purpose-built, state-specific intelligence looks like in practice. Features Kansas and Nebraska case data with MCO-specific analysis.

Rural Hospitals Medicaid MCO Purpose-Built AI Policy
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The Quiet Crisis in Rural Hospital Finance

Medicaid complexity is structurally underpaying rural hospitals — and almost nobody is working the recovery side.

📅 April 2026 📄 8 pages ⏱ 11 min read

Why most rural hospitals are being underpaid by Medicaid for services they have already rendered, why generic AI doesn’t solve the problem, and what recovery actually looks like — written for CFOs and boards being asked to make survival decisions without a complete picture.

Rural Hospitals Medicaid Revenue Recovery CFO Briefing
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The MCO Margin Crisis

Why Managed Care Needs a New Intelligence Layer

📅 April 2026 📄 10 pages ⏱ 14 min read

Medical costs are outpacing capitation. Enrollment is churning. CMS is watching. What the data says about the Medicaid managed care margin crisis — and what MCOs can do about it.

Managed Care MCO Strategy Network Adequacy Enrollment Growth
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When the Safety Net Has No Floor

Why New Mexico Hospitals Must Build Their Own Revenue Recovery Infrastructure

📅 April 2026 📄 14 pages ⏱ 14 min read

When every layer of a state's Medicaid infrastructure fails simultaneously, hospitals are structurally on their own. A state-level case study in systemic failure — and what it means for every hospital in America.

New Mexico Medicaid Hospital Revenue MFCU State Policy
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