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Andrew Ray of Ensemble emphasizes redesigning processes over layering technology to address financial and operational pressures.

Hospitals face challenges from all sides: razor-thin margins, high fixed costs and unpredictable revenue streams.

To move from pilot to scale, three things must work in concert: domain expertise, robust data and top AI scientists to drive differentiation.

Health-care systems are being optimized for staff and patients by basing LLMs in facts and logic through neuro-symbolic AI.

Health systems are increasingly turning to outsourcing as a strategy to address operational inefficiencies and financial pressures.

In July, it transitioned revenue cycle, patient access and other administrative functions to Ensemble Health Partners.

AI pushes medical coding to where autonomous coding can scale across all specialties, automate up to 90% of cases + drive revenue integrity.

RCM is looking to agentic AI to solve major pain points, but there are implementation considerations before tech can deliver on its promises.

High-value use cases for agentic AI in RCM are emerging as early adopters realize greater efficiencies, automation and payment accuracy