Contributed by Adonis
In January 2026, we surveyed revenue cycle leaders across the country to understand the forces shaping modern revenue operations. More than 120 leaders participated, 48 of which represented
hospitals and health systems.
This report focuses on those 48 hospital-based respondents. Their input reflects how revenue cycle is being discussed at the executive level, how organizations are approaching AI and
automation investment, and where leaders see risk building inside their revenue operations.
Three themes are clear:
- Revenue cycle is now an executive issue, not just an operational one.
- AI investment is increasing, but impact remains uneven.
- Visibility into revenue risk remains the largest structural gap.
Notably, 63 percent of hospital leaders report they are not taking a proactive approach to identifying revenue risk. In an environment defined by payer variability, reimbursement pressure,
and staffing constraints, that gap has direct implications for margin stability and cash predictability.
Read the full 2026 RCM HHS Research White Paper
About Adonis
Adonis is a Revenue Intelligence and Automation Platform, built for Healthcare, solving for operational challenges that impact the integrity of revenue cycle management. On average, Healthcare providers are unable to collect 15% or more of the revenue it’s owed. This is a result of compounding fractures in traditional RCM; a series of people, processes, systems, and tools are collectively responsible for this dilemma. Powered by data science and AI technology, Adonis provides solutions to address the common issues and areas of susceptibility within RCM to create better, more reliable revenue outcomes. No matter where you are in your revenue cycle journey, we can help you take a step in the right direction to reach your revenue potential
Learn more at https://www.adonis.io/
