Readmission penalties have turned the quiet hours after discharge into the most expensive minutes on the hospital balance sheet. Leadership teams that once viewed patient portals as convenience tools must now treat mobile engagement platforms as critical infrastructure for value-based payment survival.

Revenue cycle platforms such as JanusIQ gained initial traction by correcting upstream inefficiencies in authorization and claims workflows. The true test, however, lies in navigating regulatory enforcement, vendor competition, and long-term enterprise integration. This follow-up editorial analyzes those emerging pressures and the decisions revenue leaders must now anticipate.

Best Buy has sold Current Health back to co-founder Christopher McGhee, ending a US$400 million retail foray and returning operational control of roughly one-third of national hospital-at-home episodes to the company’s original leadership. The transaction, confirmed by Home Health Care News(homehealthcarenews.com), reunites McGhee with fellow co-founder Stewart Whiting and several early engineers whose platform once powered remote acute care for Mass General Brigham and Atrium Health.

One week after the rollout of Altera Digital Health’s Sunrise 25.1, the conversation has shifted from feature analysis to strategic implications. This release redefines how health systems should evaluate their electronic health record (EHR) vendors, not just for functionality, but for alignment with performance-linked, modular modernization.

Last week, EnableComp Chief Strategy Officer Mike Esworthy laid out a clear and compelling framework for tackling one of the most persistently underestimated problems in healthcare finance: the drag of complex claims. These are the 10 to 15 percent of encounters that exist outside the logic of routine reimbursement. They resist automation, evade standard EHR logic, and disproportionately strain revenue cycle teams already operating with fewer resources and tighter margins.

The legacy revenue cycle architecture in U.S. hospitals is nearing collapse under the weight of administrative inflation, payer friction, and regulatory acceleration. Janus Health’s introduction of JanusIQ is not merely a vendor product release but a signal that artificial intelligence is becoming the strategic core of revenue cycle performance. Hospitals cannot scale manual workflows to meet rising complexity. They require platforms that translate data volume into operational precision, and JanusIQ represents a decisive move in that direction.

One week after Altera Digital Health and Managed Care Advisory Group (MCAG) announced their collaboration to streamline class action claims filing for healthcare providers, it is clear that the partnership is more than a one-off response to a $2.8 billion Blue Cross Blue Shield (BCBS) settlement. It is a directional signal, and one that other health IT vendors would be wise to study closely.

Sunrise 25.1 delivers nearly 700 new features, including a significant overhaul to revenue management through its Financial Manager module. This module consolidates billing requests, claims, and self-pay actions into a single interface, enabling streamlined processes that reduce administrative burden and improve charge accuracy. These functions directly support the objectives of revenue integrity programs promoted across leading health systems and are increasingly essential in a reimbursement climate shaped by increasing charity care, persistent labor shortages, and payer complexity.