How Smarter Technologies is Transforming Healthcare Revenue Cycle Management with AI
Slice of Healthcare Team
May 20, 2025
Key Highlights
- Smarter Technologies launched a new AI automation platform aimed at optimizing revenue cycle management (RCM) for hospitals and health systems.
- The company was formed by combining Thoughtful AI, Access Healthcare, and SmarterDx, bringing together AI-driven virtual agents, established outsourcing expertise, and machine learning for revenue integrity.
- Jeremy Delinsky emphasized modularity, allowing health systems to implement targeted solutions without overhauling existing RCM systems.
- Key areas of focus for AI include AR management, payment posting, and appeals management, where consistent application of standard procedures can prevent revenue leakage.
- Jeremy cautioned against using AI for patient-facing roles, citing ethical concerns and the need for more robust technology in sensitive areas.
Watch
Yesterday marked a significant milestone for Smarter Technologies with the launch of their automation platform aimed at transforming revenue cycle management (RCM) for hospitals and health systems. I had the opportunity to speak with Jeremy Delinsky, CEO of Smarter Technologies, to learn more about the company's vision and how they plan to reshape the RCM landscape.
From Athenahealth to Smarter Technologies: A Vision for Change
Jeremy's journey is rooted in his extensive experience in healthcare and technology. From sitting in a graduate school class in 2001, where he first heard Todd Park present athenahealth, to leading technology and operations at Wayfair and Devoted Health, Jeremy has seen the evolution of RCM from multiple perspectives. Now, he's channeling that experience into Smarter Technologies, a company formed by bringing together three distinct entities:
- Thoughtful AI: Focused on using virtual agents to handle repetitive, labor-intensive tasks.
- Access Healthcare: A well-established healthcare outsourcing organization that Jeremy previously worked with during his time at athenahealth and Devoted Health.
- SmarterDx: A team specializing in revenue integrity, identifying under-collected revenue and optimizing payment workflows.
Post-Announcement Questions from Healthcare Executives
Q1: Why bring these three specific companies together and what can Smarter Technologies now do to help a hospital across its revenue cycle management process given all the moving parts?
Jeremy explained that this opportunity felt like a dream — the chance to bring together platforms that could achieve more together than they could individually. He highlighted how Thoughtful AI, Access Healthcare, and SmarterDx complement each other to address different aspects of the RCM process, creating a modular system that can be implemented in parts or as a whole.
Q2: We have a large RCM process in place and just now thinking of how we use AI to help streamline. What kind of flexibility will Smarter Technologies bring so that we don’t have to completely displace our RCM operation?
Jeremy emphasized that Smarter Technologies was designed with modularity in mind. The goal is not to displace existing systems but to provide targeted AI-driven services in specific areas such as patient eligibility verification, prior authorization, or AR follow-up. This approach allows health systems to adopt AI solutions without overhauling their entire RCM operation.
Q3: As we think about our larger AI strategy and how we support this from the IT perspective, how should we think about the various areas of the RCM process that Smarter Technologies can take on and bring scale?
Jeremy discussed the importance of focusing AI efforts on back-office workflows, where cost reduction and efficiency gains can be achieved without compromising patient care. He suggested that the best opportunities for AI today lie in processes like AR management, payment posting, and appeals management — areas where consistent application of standard operating procedures can prevent revenue leakage and enhance patient outcomes.
According to Jeremy, the timing is right for several reasons:
- Technological Advancements: AI is advancing rapidly, creating new opportunities for efficiency.
- Financial Pressure on Providers: Rising labor costs and aggressive payer tactics are eating into revenue.
- High Administrative Costs: Administrative expenses in healthcare are disproportionately high — with costs to collect ranging from 5% to 9% in some cases. Smarter Technologies aims to lower these costs by integrating automation without requiring a complete overhaul of existing systems.
Modular Solutions for Flexible Implementation
Not every health system is ready for an end-to-end solution. Jeremy emphasized the importance of modularity, allowing systems to adopt specific services — such as patient eligibility verification or AR follow-up — without overhauling their entire RCM structure.
This approach ensures that health systems can adopt AI-driven solutions at their own pace, achieving cost savings and operational efficiencies without disrupting existing processes.
Looking Forward: AI's Impact Beyond RCM
While Smarter Technologies is primarily focused on the RCM space, Jeremy suggested that broader applications of AI could be explored in the future. However, he expressed caution around customer-facing AI use cases, particularly in sensitive areas like patient interactions, emphasizing the need for thoughtful implementation.
For now, the focus remains on refining back-office workflows and identifying missed revenue opportunities for providers through targeted AI and machine learning solutions.
Thank you to Jeremy Delinsky for joining me on the show and sharing these insights. I believe Smarter Technologies is positioned to make a significant impact in the healthcare space, and I’m looking forward to seeing what happens next.
