Articles from Experian Health

Experian Health today unveiled its predictions for the healthcare industry, a year that will be significantly shaped by new regulations, mounting financial pressures, and the shift from AI awareness to adoption. As the revenue cycle grows increasingly complex, healthcare organizations must look to harness technology to enhance human expertise in 2026.

The annual Experian Health High-Performance Summit (HPS) recently held in Nashville brought the top patient access and revenue cycle leaders together to discuss the latest in technology, practical application of AI, patient engagement and data management. The client-exclusive event hosted attendees from 42 states representing 123 health systems with many leaders sharing that navigating these challenging times of payer-provider friction, changing reimbursement rules, regulatory burdens and mounting financial pressures cannot be done in isolation.

Healthcare providers are stuck in a challenging cycle of rising claim denials and data errors, compounded by staffing shortages and outdated technology, according to the Experian Health 2025 State of Claims survey. The findings reveal 41 percent of providers now face denial rates of 10 percent or higher, an issue that has grown each year since the first survey in 2022. While more than two thirds of providers (67%) believe AI can improve the claims process, industry adoption remains low.

Experian Health today released its annual 2025 State of Patient Access Survey, which reveals some alignment between patients and providers but also a few areas of polarization. Patient and provider respondents said access “was about the same” at the highest levels since 2022 (68% and 43%, respectively) and fewer patients are saying that access is worse compared to previous years, which may reflect an overall better experience. Among those that say access is better (16%), the top reason is they can see a practitioner quickly. However, the top challenge for patients that say access is worse (15%) remains being able to see a provider quickly while, ironically, the biggest challenge for providers is getting patients to use the digital access services designed to help remedy this issue.

Healthcare providers and patients are in rare agreement that healthcare access and service-levels are improving, according to the Experian Health 2024 State of Patient Access survey. Almost a third (28%) of patients and 55 percent of providers surveyed say the environment is getting better while patients still say the top challenge is seeing a practitioner quickly.

Experian Health, a leading provider of revenue cycle management (RCM) solutions that simplify healthcare, has earned the top KLAS ranking for the second consecutive year in the Claims Management and Clearinghouse and Revenue Cycle: Contract Management categories for its ClaimSource® and Contract Manager products. The rankings were released today in its annual 2024 Best in KLAS Awards - Software and Services.

Experian Health today released survey results that reveal a striking 100 percent of hospital and health system survey respondents say staffing shortages have affected revenue cycle management (RCM) and patient engagement efforts. These findings highlight the urgent need for healthcare organizations to find solutions that fill the gaps and stabilize operations for the long-term. However, the majority mindset among respondents is to shore up human resource approaches instead of leveraging technology such as automation and artificial intelligence to address staffing challenges.

To address one of the most pressing problems in healthcare,i Experian® Health, a leading provider in revenue cycle products, announces the launch of AI Advantage™ to mitigate the increasingly high volume of healthcare insurance claims denials. As the most seamless and comprehensive system for claims management in the healthcare industry today, the products leverage artificial intelligence (AI). Coupled with Experian’s expertise in big data solutions and insights, these all-new solutions will help healthcare providers prioritize their claims reimbursement process and decrease claim denials overall, saving time and money across the entire healthcare value chain and ultimately improving care and service for patient consumers.

Experian Health, a leading provider of revenue cycle management solutions, has been awarded the top KLAS ranking in the Claims Management and Clearinghouse and Revenue Cycle: Contract Management categories for its ClaimSource® and Contract Manager products. Winners were announced in the 2023 Best in KLAS: Software and Professional Services report released today.

Experian Health today released findings from a follow-up survey on patient access to explore how patient and provider attitudes have changed in the last six months, and what this means for the future of healthcare. The data reveals that patients feel more positive about their healthcare experience, while providers are continuing the digital momentum to meet patients’ needs.

Experian Health, a leading provider of revenue cycle management products that include claims management, payer contract management and patient collections, today announce that its Enterprise Health Patient Identifier Solution and Hospital Claims Management Systems have been recognized as top-rated solutions in Black Book’s 2021 Top Client-Rated Financial Solutions Achieving Accelerated Digital Transformation in the Nation's Healthcare Systems rankings. The survey, now in its 11th iteration, polls for vendor satisfaction and industry trends across the healthcare software/technology and outsourcing sectors globally.