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Top 5 Most Interesting Moves

Mar 13, 2026
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March 13, 2026—Top 5 Insights

1.  Will ATLIS come back in Texas? 🔥

Rural Texas Health Glow-Up: ATLIS Dead, RHTP Aliveđź’‰ 

Co-ops, This Is Your Shot! 

ATLIS? Gone. HHSC terminated it December 2025. Not a total flop, but stakeholder chatter screamed trouble. HHSC smelled compliance smoke, so boom.

đź’° Now meet your upgrade: Rural Health Transformation Program (RHTP).  Zero match needed. 
Killer perk:  Skip the middleman.

  • Rule #1: no supplanting. Can’t fix ATLIS.  This cash builds fresh.
  • Applicability:  Initiative 2 ==> patient portals + HIE magic.
  • Applicability: Initiative 3 ==> AI telehealth + care coordination.
  • Sustainability:  Build and define your own rural downstream revenue.

You + rural partners + software scientists form a co-op. Build your own system for any EHR: real-time records, remote monitoring, secure sharing. All 100% federal. RFPs drop soon.  

ATLIS died on alignment. RHTP hands you the keys.  Partner up, pitch hard, own the future. Texas rural health just leveled up—don’t blink! 🚀✨

 


2.đź’°CFO Alert: AI Flood in RCM - Don't Get Left Behind 

The AI tools for revenue cycle management are everywhere: denial prediction, auto-coding, claims scrubbing, smart interoperability. 82% of orgs now see AI as core to RCM ops, with 70% calling it high-priority. But the market's flooded, and the real questions hit hard:

  1. Are you ready? Legacy systems and siloed data kill ROI before it starts.
  2. How do you get ready? Audit infrastructure, clean data quality, and prioritize true interoperability (HL7/FHIR standards, not band-aids).
  3. Which one to deploy? Skip hype and vet for seamless integration, proven denial reduction (10%+ rates crushing margins), and scalable ROI models.
  4. When does ROI kick in? What is realistic?   What isn't realistic?   
  5. Lost productivity cost? Training + workflow shifts = ~3-6 months of dip (staff reallocation, dual processing). How do I mitigate and can RHTP help potentially, if tied to rural care coordination/tech upgrades? 

Enter Rachel Barksdale: Healthcare finance strategist (20+ years, ex-Ascension) cutting through the noise on Substack and LinkedIn. Her takes? Focus on enterprise barriers (data quality, infrastructure) and build AI strategies that deliver measurable cash flow wins without blame games or hidden losses.  Check her out below: 

 

Bottom line: AI isn't optional for RCM survival in 2026. Get interoperability right, pick wisely, and ROI follows. Delays will bleed margins.

 


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