Discover how to effectively use the new Medicare Advantage Complaint Form. Learn when to file a Complaint Form and when to appeal a denial.

A federal court blocked CMS statistical extrapolation in RADV audits, but provider documentation requirements remain unchanged. AI-powered fraud detection, payment suspensions, and multiple audit programs continue unaffected. Learn what the ruling actually changed, what didn't, and how to prepare during the 6-12 month window before CMS responds. Get your RADV preparedness roadmap and documentation defense strategy.

Aetna's new Medicare Advantage policy will approve inpatient admissions but pay many at observation rates with no appeal rights. Revenue cycle leaders need immediate strategies.

HFMA 2025 revealed that even leading health systems like UC San Diego Health are missing 47% of mission-critical RCM technologies. Learn what actually works in autonomous coding, denial management, and AI implementation, beyond vendor hype. Discover why development partnerships outperform product purchases, realistic timelines for technology adoption, and actionable strategies for academic, community, and rural hospitals.

Connecting Innovation with Opportunity At Cofactor, we're passionate about building bridges between innovative healthcare startups and the resources they need to thrive. Our recent Healthcare Demo Day exemplified this mission, bringing together nine remarkable companies working to transform healthcare delivery, diagnostics, treatment, and patient experience. What makes Chicago’s healthcare innovation scene so unique is the intersection of world-class hospitals, top research i

Chicago has emerged as a vibrant nerve center for healthcare technology innovation, with a thriving ecosystem of startups tackling some of the industry's most pressing challenges. As healthcare continues to undergo rapid digital transformation, our city is positioning itself at the forefront of developing solutions that improve access, quality, and efficiency of care. We organized our Healthcare Demo Day to spotlight this incredible local talent and create meaningful connecti

We're thrilled to welcome an exceptional group of healthcare leaders to judge our upcoming Healthcare Demo Day. With diverse backgrounds spanning clinical care, innovation, finance, and technology, these industry experts bring invaluable perspectives to evaluate promising healthcare startups.

Alarming new data fromCHQPR reveals 748 rural hospitals across America face potential closure due to financial distress

Cofactor joins NVIDIA's Inception Program, gaining AI resources and mentorship to revolutionize healthcare revenue cycle management tools.

AI-powered claim denials are transforming healthcare, but at what cost? Examine the controversies around automated coverage decisions, alleged high error rates, and the tension between cost management and patient care. Learn about emerging state regulations, provider response strategies using counter-AI, and the broader policy debate over healthcare as market commodity versus public good. What comes next for the industry?

Hospital closures accelerate as facilities struggle to find optimal size. While 432 rural hospitals face closure risk and large systems like Steward collapse under bureaucracy, mid-sized hospitals discover the sweet spot: 100-350 beds with strategic technology investment. Explore how balanced operations, AI-powered revenue cycle management, and community focus create sustainable healthcare delivery models that outperform both extremes.

ProPublica reveals how EviCore uses AI to deny healthcare claims, transforming patient restrictions into profits.

Texas' aggressive Medicaid review has left over 2 million residents without healthcare coverage, creating a crisis that affects the state's