Why Automating the Revenue Cycle Isn’t Enough

As hospitals and health systems face sustained financial pressure, revenue cycle performance has become a strategic imperative — not just an operational concern. Automation and artificial intelligence promise efficiency gains, but the American Hospital Association’s latest Trailblazers report makes a clear case: Technology alone will not fix a broken revenue cycle. Real improvement requires aligning technology with people and processes.
The report, Intelligent Revenue Cycle Management: It’s Not Just About Technology, It’s About Using Technology — and People and Processes — Wisely, explores how hospitals can take a more deliberate, enterprise-wide approach to revenue cycle transformation. Rather than deploying disconnected point solutions to chase quick wins, the report urges leaders to step back and define what they want their revenue cycle to achieve and how technology can support those goals.
That guidance comes at a pivotal moment. AI-powered revenue cycle tools are proliferating rapidly and investment is accelerating. More than half of senior finance leaders say they are increasing their use of automation and AI to address revenue cycle staffing challenges, and revenue cycle technology ranks as a top IT investment priority for hospitals nationwide. At the same time, the report warns that automating flawed processes can amplify inefficiencies rather than resolve them.
Through case studies from Northwestern Medicine and Genesis Healthcare System, the Trailblazers report shows how organizations are rethinking revenue cycle transformation by standardizing workflows, strengthening governance and intentionally layering in automation. These systems first focused on process consistency and workforce alignment, then used AI and automation to scale performance, improve patient experience and reduce administrative burden.
The report also outlines practical considerations for leaders, including when to favor platforms over point solutions, how to balance efficiency with staff engagement and why strong data governance is foundational to AI adoption.
Download the full Trailblazers report to explore strategies, lessons learned and real-world examples from health systems leading the way.



