HURC

HURC, or Hospital Utilization Review Corporation, is a tech-enabled middle-revenue-cycle company focused on utilization review, helping hospitals address denials and reimbursement delays in real time rather than after the fact. Its “Centralized Utilization Review” solution integrates into existing workflows to align medical necessity, documentation, coding and payer communication during the course of care, reducing fragmentation across a critical part of the revenue cycle. At one large academic health system, HURC helped drive a $55 million increase in net patient revenue, a 95% reduction in lack-of-clinical denials and a 47% reduction in patient length of stay over a multi-year engagement. The company’s model also reduced annual operating costs by more than $2 million while supporting staff redeployment into higher-value case management roles.

Market Matrix: Emerging · Impact 6 · Capability 4