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Medicaid Monitor
Friday, November 13, 2026 · Updated Thu 5:36 PM MT · 46 stories on Thursday, November 12
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Fri, Nov 13 · 46 stories on Thursday, November 12PRO
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IndustryNovember 9, 2026

Kodiak Report: Hospitals Wrote Off $132B Despite AI Investment

Kodiak Solutions, a revenue cycle analytics company, reports that hospitals collectively lost an estimated $132 billion last year to write-offs from bad debt and final claim denials, up nearly 18% from 2024, with write-offs consuming about 10% of net revenue. The increase came despite rising hospital investment in AI and revenue cycle technology, with industry tech budgets up 7.6% to $69 billion this year per a Forrester report cited by Kodiak. Bad debt and final denial rates as shares of net revenue have stayed roughly flat over three years, but total dollar losses grew, which Kodiak attributes to high-dollar denials, case mix shifts and rising overall hospital revenue. Kodiak researchers say providers may be deploying technology to operate revenue cycle functions without the data depth needed to optimize financial performance.

Why it mattersMedicaid managed care plans and providers navigating denial and prior authorization disputes could see continued pressure on hospital finances translate into more aggressive claims scrutiny and coding practices on both sides of payer-provider negotiations.

Finance

Read the full article at healthcaredive.com →
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