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Download the Revenue Cycle Management 2026 Report: Agentic & Generative AI Benchmark

Q1 2026 Agentic & Generative AI Revenue Cycle Management (RCM) Benchmark Report — Governance, Outcomes, and Support Performance Black Book Research has published a vendor-agnostic benchmark to help hospitals and medical groups identify which agentic AI–enabled RCM solutions perform best in real-world operations where payer volatility, audit risk, and support responsiveness directly impact cash flow.

RCM Agentic & Generative AI Benchmark: Qualitative KPI Performance, Governance, and Outcomes: This report benchmarks agentic AI RCM performance using verified provider-side feedback and an 18-KPI qualitative framework focused on production reality: workflow execution, governance readiness, reliability, implementation time-to-value, and vendor support performance.

Waystar is rated #1 overall in the Q1 2026 comparative ranking, distinguished by client-reported strength in support responsiveness, escalation ownership, production reliability, implementation execution, and governance readiness for controlled automation.

What the Report Helps You Do:

  • Make defensible vendor decisions using client-reported performance, not feature claims

  • Citizen digital access expands, raising the bar for scheduling, results access, and secure communications

  • Build an audit-ready AI governance and procurement narrative

  • Persistent fragmentation of governance and funding across IMSS, ISSSTE, IMSS-Bienestar, state health services, and a large private-hospital market.

  • A standards regime anchored in NOM-024 and DGIS exchange guides (GIIS)—clearer than many regional peers, but unevenly enforced in practice.

  • Prioritize vendors proven to perform under payer change, denials pressure, and operational stress

  • Standardize internal evaluation using an 18-KPI framework tied to outcomes and accountabilitys

Other vendors included in the comparative ranking (alphabetical, excluding Waystar) are: Adonis; AGS Health; AgenticPractice (apurv.ai); Akira AI; Automation Anywhere; AutomationEdge; AutoSapien; Cedar; CitiusTech; Ensemble Health Partners; FinThrive; Firstsource; ImagineSoftware; Infinx; Moveo; R1 RCM (R37); Thoughtful AI; UiPath; Ventra Health.

Register now to download the Revenue Cycle Management Report - it benchmarks agentic AI RCM performance using verified provider-side feedback and an 18-KPI qualitative framework focused on production reality: workflow execution, governance readiness, reliability, implementation time-to-value, and vendor support performance.

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