Latest news with #AGSHealth


Indianapolis Star
11-06-2025
- Business
- Indianapolis Star
AGS Health(R) CEO Patrice Wolfe Named one of the Becker's Healthcare 'Top Women to Know in Health IT'
WASHINGTON, DC / ACCESS Newswire AGS Health ® CEO Patrice Wolfe has been named to the Becker's Hospital Review list of 'Women in Health IT to Know' in 2025. The annual list recognizes women who are harnessing the power of health IT to help shape the future of the healthcare industry. Wolfe has been at the helm of AGS Health, a leading provider of tech-enabled revenue cycle management (RCM) solutions and a strategic growth partner to healthcare providers across the U.S., for nearly six years. During her tenure, the company has evolved into a market leader in technology-led RCM solutions, strengthening its capabilities through strategic acquisitions and the organic development of proprietary technologies. Central to Wolfe's leadership is a bold vision for a frictionless revenue cycle powered by a hybrid intelligence model that seamlessly blends human expertise with the speed, scale, and precision of artificial intelligence (AI). This model enhances human decision-making with AI's analytical power, creating a synergistic system designed to prioritize outcomes over narrowly defined metrics and point solutions. 'Healthcare leaders are seeking a more strategic approach to revenue cycle management-one that goes beyond transactional efficiency and focuses on delivering measurable financial and clinical outcomes,' said Wolfe. 'That's the philosophy behind our hybrid intelligence model. Our clients view us not merely as a vendor but as a long-term strategic partner. The success of our solutions is measured by the tangible impact we deliver, whether that's increasing cash flow, reducing denials, or improving the patient financial experience.' Under Wolfe's leadership, AGS Health has introduced a series of transformative advancements aimed at modernizing and optimizing revenue cycle operations. Key innovations include the deployment of agentic automation, autonomous medical coding solutions, and hybrid intelligence solutions for front-end financial clearance and prior authorization processes. The company has also developed proprietary workflow orchestration tools that enhance the efficiency, accuracy, and decision-making capabilities of its service teams through intelligent automation and real-time data insights. Wolfe also spearheaded the company's geographic expansion into Mexico and the Philippines, broadening customers' access to diverse, highly skilled talent pools that are uniquely suited for clinical administrative support roles. In recognition of its strong workplace culture and employee engagement, AGS Health earned Great Place to Work ® certification in India, the United States, and the Philippines. The company also achieved significant industry recognition, including being named a Leader in Everest Group's Medical Coding Operations PEAK Matrix ® Assessment and receiving four consecutive Leader and Star Performer designations in Everest Group's RCM Operations evaluations. Additional accolades under Wolfe's tenure include being named 'Most Improved Services Solution – Best in KLAS: Software & Services,' earning the KLAS Research and Censinet Cybersecurity Transparent designation, and receiving the UiPath AI25 Award along with the Data Security Council of India (DSCI) Excellence Award for Best Security Practices in an Organization. 'I am honored to be among such an elite group of women who are reshaping the healthcare industry,' says Wolfe. 'But I did not achieve this honor alone; credit extends to the exceptional AGS Health team, which shares my commitment to leveraging the latest technologies to deliver exceptional quality to our healthcare customers.' The women leaders recognized on Becker's list, curated by the editorial team from nominations submitted across the healthcare ecosystem, utilize technology to drive meaningful change by streamlining administrative processes, enhancing care delivery, standardizing workflows, and elevating overall system efficiency. In its announcement, Becker's Healthcare stated its pride in honoring trailblazing women in health IT for their unwavering commitment to improving healthcare, adding that their leadership and innovation are essential to the continued success of their organizations and the healthcare industry. The complete list of Women in Health IT to Know can be accessed here. About AGS Health AGS Health is more than a revenue cycle management company-we're a strategic partner for growth. Our distinctive methodology blends award-winning services with intelligent automation and high-touch customer support to deliver peak end-to-end revenue cycle performance and an empowering patient financial experience. We employ a team of 15,000 highly trained and college-educated RCM experts who directly support more than 150 customers spanning a variety of care settings and specialties, including nearly 50% of the 20 most prominent U.S. hospitals and 40% of the nation's 10 largest health systems. Our thoughtfully crafted RCM solutions deliver measurable revenue growth and retention, enabling customers to achieve the revenue to realize their vision. # # # Media Contact: Liz Goar NPC Creative Services liz@ SOURCE: AGS Health View the original press release on ACCESS Newswire


Mint
21-05-2025
- Business
- Mint
Blackstone leads the race to acquire AGS in a $1.3 bn deal
Global private equity firm Blackstone has outbid two others in its bid to acquire medical revenue cycle management (RCM) firm AGS Health, two people with knowledge of the deal said. The acquisition is likely to value the company at $1.2-1.3 billion, the people said on the condition of anonymity. The other two bidders were Vitruvian Partners and a consortium of TPG and General Atlantic. 'Blackstone hiked its bid on Monday and emerged as the highest bidder," one of the two people cited above said. Also read: Another Indian fintech unicorn taps bankers for a $400-million IPO EQT, formerly Barings Private Equity Asia, acquired AGS Health in 2019 for $320 million. AGS offers services including medical billing, claim submission, denial management and medical coding. It works with healthcare providers and insurance companies to expand profitability, scalability and compliance. The company has offices in Chennai, Manila and Washington. AGS Health had mandated JP Morgan and BofA to scout for buyers, the second person cited above said. On 13 March, Mint had reported about the progress of the sale plan. Spokespersons for Blackstone, JP Morgan, Bank of America, General Atlantic and TPG declined to comment. A query emailed to EQT remained unanswered. Also read: Warburg Pincus looks to clock out of SBI General Insurance with a $350 mn cheque As large buyout funds back high-growth dollar-generating assets, RCM companies have seen a lot of traction. In the last 12-18 months, companies such as GeBBS Healthcare, Access Healthcare and Omega Health have found new owners. According to the website of AGS Health, its 13,000 employees serve more than 150 customers spanning a variety of care settings and specialities, including nearly 50% of the 20 most prominent US hospitals and 40% of the 10 largest health systems in the US. Also read: Mint Exclusive: Worldline looks to sell India business The company, that earns more than ₹500 crore in earnings before interest, tax, depreciation, and amortization or Ebitda, is likely to be valued at 18 times given that it commands around $1-1.2 billion in valuations.


Bloomberg
20-05-2025
- Business
- Bloomberg
Blackstone Leads Bidding for $1 Billion AGS Health Deal
Blackstone Inc. is emerging as the frontrunner to acquire revenue cycle management provider AGS Health from private equity firm EQT AB, people familiar with the matter said. Blackstone has pulled ahead of other bidders and could reach a deal as soon as the coming days, the people said, asking not to be identified because the information is private. A transaction could value AGS Health at $1 billion or more, according to the people.
Yahoo
20-05-2025
- Business
- Yahoo
Healthcare Industry Shifts to Value-Based Reimbursement as New Standard
Value-based reimbursement is now the norm for ACOs and physician practices, highlighting the vital role of CDI specialists, medical coders, and utilization management in improving care and reimbursement. The rise of AI in clinical documentation urges CDI providers to innovate for next-gen healthcare workflows. Dublin, May 20, 2025 (GLOBE NEWSWIRE) -- The "Clinical Documentation Integrity in North America, 2025: Frost Radar Report" report has been added to the healthcare industry shifts from a fee-for-service to a fee-for-value model, value-based reimbursement is becoming the standard for accountable care organizations (ACOs), independent physician practices, and non-ACO entities. This transition underscores the essential role of clinical documentation integrity (CDI) specialists, medical coders, and utilization management staff in enhancing care personalization; mitigating adverse events, such as medication reconciliation errors; and improving reimbursement efficiency. CDI, which is an integral part of revenue cycle management, is a strategic imperative in healthcare, extending beyond its role in claims processing and denials management. It enhances patient outcomes, ensures data accuracy to reflect the true care narrative, supports precise reimbursement, and strengthens compliance risk management and revenue integrity. As new-age CDI vendors prioritize the adoption of cutting-edge technology, such as conversational AI, AI clinical assistant in medical coding, and the use of ambient AI in clinical documentation and machine learning and natural language processing in autonomous coding, it has become imperative for electronic health record-based and legacy CDI providers to stay competitive and redefine their clinical documentation tools to support next-generation workflows across the healthcare Topics Covered: Clinical Documentation Integrity in North America, 2025 Strategic Imperative and Growth Environment Companies to Action AGS Health Amazing Charts Arintra Greenway Health Iodine Software Microsoft Optum Oracle Health Provation Solventum Waystar Best Practices & Growth Opportunities Next Steps: Leveraging the Radar to Empower Key Stakeholders For more information about this report visit About is the world's leading source for international market research reports and market data. We provide you with the latest data on international and regional markets, key industries, the top companies, new products and the latest trends. CONTACT: CONTACT: Laura Wood,Senior Press Manager press@ For E.S.T Office Hours Call 1-917-300-0470 For U.S./ CAN Toll Free Call 1-800-526-8630 For GMT Office Hours Call +353-1-416-8900Sign in to access your portfolio


Miami Herald
15-05-2025
- Business
- Miami Herald
AGS Health Expands into Mexico with Guadalajara Location Offering Clinical Administrative Services
WASHINGTON, DC / ACCESS Newswire / May 15, 2025 / AGS Health, a leading provider of tech-enabled revenue cycle management (RCM) solutions and a strategic growth partner to healthcare providers across the U.S., announced today its expansion into Mexico with the opening of an office in Guadalajara. Taking advantage of the region's growing technology presence and a skilled medical, legal, and engineering workforce, AGS Health will hire more than 150 team members to provide Clinical Administrative Services from the new location. "U.S. hospitals and health systems are bowing under the weight of a chronic clinician shortage and rising burnout rates, both of which are shouldered at the expense of patient care. By expanding operations into Mexico, AGS Health can provide our customers with the opportunity to augment their internal teams with qualified physicians under a high-quality near-shore service model," says AGS Health CEO Patrice Wolfe. Among the Clinical Administrative Services that will be provided by the Mexico location's bilingual team-a significant benefit for all AGS Health customers but especially those serving large Latino populations-are clinical denials and appeals, clinical prior authorizations, utilization management, and physician advisory services. The office, located in Zapopan within the greater Guadalajara metropolitan area, also supports key operational functions such as customer service, finance, and back-office support. Additionally, it will provide clinical documentation improvement services when needed. The 7,500-square-foot office features upgraded workspaces and meeting areas designed for team collaboration and client engagement. Its proximity to public transportation and major city routes also means security, maintenance, and infrastructure teams can respond rapidly and provide enhanced follow-up on security-related matters. "This expansion contributes to job creation and professional development opportunities in the Guadalajara region and demonstrates ongoing confidence in Guadalajara as a hub for high-quality business services and talent," says Cheryl Cruver, Chief Revenue Officer, AGS Health. "It also serves as a platform for training, collaboration, and long-term career growth while reinforcing Guadalajara's position as a premier nearshore destination for operational and customer support." About AGS Health AGS Health is more than a revenue cycle management company-we're a strategic partner for growth. Our distinctive methodology blends award-winning services with intelligent automation and high-touch customer support to deliver peak end-to-end revenue cycle performance and an empowering patient financial experience. We employ a team of 15,000 highly trained and college-educated RCM experts who directly support more than 150 customers spanning a variety of care settings and specialties, including nearly 50% of the 20 most prominent U.S. hospitals and 40% of the nation's 10 largest health systems. Our thoughtfully crafted RCM solutions deliver measurable revenue growth and retention, enabling customers to achieve the revenue to realize their vision. Media Contact: Liz GoarNPC Creative Servicesliz@ SOURCE: AGS Health