Red Ocean. Blue Ocean.
In healthcare it’s easy to focus on what’s next like AI, automation, and new models. But none of it works if you cannot operate in today’s reality.
The Red Ocean is still here. Denials, delays, manual work, and fragile systems define daily operations. That is where trust is built.
Blue Ocean thinking only matters when it is grounded in that reality. The future is built by those who can do both.
Outsourcing Doesn’t Fix Anything. Here’s What Does.
Traditional outsourcing is built to move work, not fix it. Accounts get touched, queues get cleared, and activity gets reported—but the underlying system generating that work remains unchanged. As a result, volume keeps returning, and organizations end up paying to manage symptoms rather than resolve causes. This piece breaks down why that model persists, and what happens when the focus shifts from effort to structure.
From High-Risk Transition to Controlled Operation
During a high risk system transition, a leading academic health system temporarily lost automated eligibility verification. In response, SparkChange deployed Advanced Eligibility Verification Automation, delivering 638,922 automated actions, 18,800 FTE hours saved, and a 58.78x ROI turning disruption into a controlled, resilient operation.
Turning a Denial Pattern into Predictive Power
A predictive denial model flagged claims missing a critical ED charge. At one client, $1.7 million in potential revenue was at risk. Our workflow now catches these early, showing how AI can turn insight into action and help teams work smarter.
From Day-Long Bottlenecks to 5-Minute Breakthroughs
What used to bury coders in hours of manual review now processes end-to-end in minutes. No stalls, no rework, no guessing. This is the difference between a bot that patches problems and automation that truly fixes them.
Why We Waited on AI, and Why We're All In Now
AI alone does not fix the revenue cycle. People do. Our AI engine is not built to replace teams. It is built to strengthen them. It spots revenue risk early, prioritizes work by impact, and adapts to payer behavior in real time. Backed by real expertise, our approach combines data-driven insight, strategic services, and intelligent automation to drive measurable and sustainable change. We are not chasing disruption. We are building a smarter revenue cycle that actually works.
Reinventing the Revenue Cycle: Think. Do. Win.
The revenue cycle doesn’t need more patches — it needs reinvention. At SparkChange, we Think differently with data-driven insights, Do boldly with automation and support, and Win by cutting denials, accelerating revenue, and giving teams time back.
Because healthcare deserves a system that works for people, not against them.
The Cost of Not Getting It: What HBO Max and Revenue Cycle Consulting Have in Common
Too often in healthcare, outside consultants offer polished strategies without understanding the real work behind the revenue cycle. They recommend changes that look good on paper but miss the mark in practice. At SparkChange, we take a different approach — grounded in context, collaboration, and action. We stay close to the system, the team, and the outcomes that matter.
The History and Peril of Past Revenue Cycle Performance Improvement Efforts
Past revenue cycle improvements delivered short-term gains but faded fast. Today, automation and data-driven intelligence are unlocking lasting efficiency and financial health.
Reflections on the 2nd Annual KLAS Revenue Cycle Summit
The 2nd Annual KLAS Revenue Cycle Summit highlighted urgent challenges in healthcare revenue cycles, the promise of AI, and the critical need for collaboration. Discussions emphasized immediate solutions, innovation, and aligned incentives to support patient-centered care and long-term progress.
LMH Health
SparkChange’s collaboration with LMH Health in Lawrence, Kansas has revolutionized their mammogram coding process through advanced automation solutions, reducing manual efforts by 85%. This innovative partnership has saved over 20 hours per week, allowing LMH Health’s HIM team to focus on complex cases while improving billing speed, coding accuracy, and overall operational efficiency. By streamlining the medical coding workflow, SparkChange has helped LMH Health manage increased mammogram volumes, ensuring faster reimbursements and enhanced healthcare delivery.
SparkChange Recognized as One of the 2024 KLAS Emerging Solutions
SparkChange is proud to be named one of the KLAS Emerging Solutions for 2024 for our innovative revenue cycle automation. Our deep integration with EHRs such as Oracle Health streamlines complex processes, ensuring timely payments and reducing healthcare costs. By simplifying the U.S. healthcare revenue cycle, we enable organizations to focus on what matters most.
Client Interview with Bob Boos, VP Revenue Cycle, Centra
In this interview, Bob Boos, VP of Revenue Cycle at Centra, explains why they chose SparkChange. He highlights how SparkChange's Oracle (Cerner) expertise reduced claim processing from 20 days to 5 and generated $200 million in revenue, improving Centra’s financial health and community services.
The Silent Crisis in Healthcare
The February 2024 cyberattack on a key healthcare vendor threw the industry into chaos, disrupting operations and leaving a mess that still isn’t fully cleaned up. Months later, hospitals are still dealing with delayed claims and cash flow issues, yet no one’s talking about it. In this post, Kristel Hladky sheds light on why this crisis still matters and why we can’t afford to ignore it.
Client Interview with Seth Katz, VP Revenue Cycle & HIM, University Health KC
Seth Katz, VP of Revenue Cycle at University Health KC, discusses the partnership with SparkChange, which led to improved revenue cycle management, task automation, better reporting, and increased operational efficiency. Katz encourages other healthcare leaders to consider SparkChange's expert approach.
SparkChange Welcomes David Johnson as Strategic Advisor
KANSAS CITY, June 5, 2024 — SparkChange has appointed David Johnson, founder and CEO of 4sight Health, as its new Strategic Advisor and Board Member. Johnson's expertise will support SparkChange's mission to revolutionize healthcare revenue cycles with data-driven insights and automation. CEO Sal LoPorto emphasizes that Johnson's vision aligns with their goal of creating a touchless revenue cycle. This collaboration aims to further transform healthcare revenue management and deliver sustainable results.