Unfiltered Stories | The new economics of healthcare providers in the AI era

In this episode of HFS Unfiltered, Rohan Kulkarni, Executive Research Leader for Healthcare and Life Sciences at HFS Research, joins Titus Leo, SVP of Sagility Provider Solutions, to discuss the HFS Horizons HCP Provider Services 2026 study and explore how healthcare providers can respond to growing financial pressure, rising costs, and changing reimbursement models. What you’ll hear: - Why traditional healthcare operating and reimbursement models are becoming unsustainable - Three bold ideas: direct-to-employer capitation, smarter self-pay strategies, and AI-enabled proactive care - Why healthcare services are shifting from FTE-based to outcome-based models - How clinical RCM, agentic AI, and patient engagement can improve financial and operational performance - How Sagility is advancing these capabilities through Synchrony, AI/GenAI, and Birch AI Key takeaways: - Providers need new revenue and care models to build resilience amid continued margin pressure. - AI can move healthcare from reactive treatment toward proactive disease prevention and management. - Outcome-based partnerships will increasingly require service providers to deliver measurable business and clinical impact. - The convergence of services-as-software, RCM, and agentic AI is creating new opportunities to transform healthcare operations. Learn more about the associated reports here: - HFS Horizons: HCP Service Providers, 2026 - https://www.hfsresearch.com/research/hfs-horizons-hcp-service-providers-2026/ <!--THE END--> - Point of View: Financial duress will be the forcing function for purposeful AI in US healthcare - https://www.hfsresearch.com/research/financial-duress-us-healthcare/ - Point of View: The patient is the new payer, and self-pay must anchor the provider’s survival - https://www.hfsresearch.com/research/patient-payer-self-pay-survival/ #Healthcare #RevenueCycle #RCM #ValueBasedCare #HealthcareAI #AgenticAI #PatientEngagement #Sagility #HFSResearch #HealthcareProviders