4sight Health August 5, 2025
When 4sight Health’s David W. Johnson writes about healthcare, he doesn’t just describe the system, he dissects it. In his recent piece for hfm Magazine, “Lessons in Solving the Nation’s Current Revenue Cycle Dilemma,” part of a three-part series on revenue cycle management (RCM), Johnson draws a sharp, historical parallel between today’s revenue cycle challenges and Henry Adams’ struggle to understand the industrial revolution shaping his world. It’s a reflection that resonates deeply. Like many of us working inside healthcare’s financial core, I didn’t arrive here by design. I stayed because what I saw was broken — and fixable.
Johnson calls RCM a “dilemma,” and he’s right. There is no perfect solution to a system built on opposing incentives. However,...
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