Economic Intelligence for Patient Financial Performance.
Precision financial care for every patient.
ARxChange is the economic intelligence layer that diagnoses each provider-patient financial encounter, compares the available revenue paths, and directs the economically optimal action into point-of-service and post-discharge engagement strategy.
Using advanced economic intelligence, ARxChange turns financial diagnosis into directed, evidence-based workflow — helping providers pursue the highest-yield, lowest-cost performance outcome for every balance.
Intelligence in Action
Diagnose.
Identify the financial condition and revenue opportunity behind each encounter.
Direct.
Compare available paths and route the right next action.
Deliver.
Produce the highest-yield, lowest-cost performance outcome.
What We Do
ARxChange solves the missing decision problem in patient financial performance.
Healthcare has systems that bill, engage, finance, collect, and resolve patient responsibility. What has been missing is the economic intelligence layer that determines the highest-performing action first — before less optimal workflows delay revenue, leak value, increase cost, or add patient burden and defection risk.
What does ARxChange do?
ARxChange determines the optimal economic opportunity and engagement for each patient path before downstream workflows act.
The Market Problem
Patient balances are too often treated as workflow inventory instead of economic decisions requiring diagnosis.
The Missing Layer
Execution systems can act, but they do not inherently know the economics, expected outcomes, or proper sequence of each financial path.
The ARxChange Role
ARxChange brings economic intelligence into existing workflows to identify and direct the optimal financial-resolution path across the full patient-financial encounter.
How We Do It
Economic Intelligence in three steps.
ARxChange Economic Intelligence corrects the patient-financial decision path by diagnosing the financial condition, comparing available revenue paths, and directing execution toward the best revenue-value outcome.
Diagnose
Identify the financial condition of the encounter: what value exists, what is recoverable, what is at risk, what the patient can reasonably do, and where continued pursuit may destroy value rather than create it.
Direct
Compare available revenue paths — engagement, payment plan, financing, continued pursuit, assistance, reclassification, or write-off — not as generic options, but as economic alternatives with different yield, cost, conversion probability, compliance implication, patient burden, and timing risk.
Deliver
Direct execution toward the path most likely to produce the best revenue-value outcome: the right action, for the right balance, at the right time, before value is delayed, reduced, or lost.
Solution Stack
Patient-financial performance lanes, directed by economic intelligence.
ARxChange directs each patient encounter toward the highest-fit economic path before point-of-service or post-discharge workflows execute.
Insurance Detection. Coverage Discovery / COB Denial Curation
Proactively finds active, retroactive, and secondary coverage opportunities before balances are treated as patient-pay; corrects payer chaining to prevent COB denials.
Engagement Optimization
Determines the timing, message, channel, and intensity most likely to improve response and resolution.
Payment Plan / Financing Design
Matches payment plans, financing, discounts, and resolution options to expected yield, affordability, and conversion probability.
Charity Care / FAP Eligibility
Proactively finds assistance pathways and routes eligible accounts before unnecessary collection pressure or wasted activity.
Hardship Discount Optimization
Determines when hardship support, discounting, reclassification, or alternate resolution improves the economic outcome.
Income, Employment & Asset Verification
Uses verified financial context to support faster, more accurate decisions across assistance, payment, financing, and recovery paths.
Results
Recognized category leadership. Proven financial impact.
ARxChange is recognized for advancing economic intelligence and patient-financial decisioning before revenue-cycle execution.
Category Leadership
Pioneering patient-financial intelligence
Widely recognized across the industry for pioneering and delivering highly precise, advanced patient-financial operating systems.
Market-Leader Partner Validation
Adopted by top health systems and performance partners
Used by U.S. News top-rated health systems and best-in-class national revenue-cycle, consulting, and performance partners to improve, tailor, and optimize patient-financial outcomes across the full patient-provider financial encounter.
Proven Financial Impact
Across the full patient-financial encounter
Delivers proven coverage recovery, financial assistance alignment, payment resolution, and provider revenue performance across the full financial-resolution lifecycle.
Insights
Rethinking patient financial performance - economics first, RCM second.
A curated collection of leadership content introducing a fundamentally different framework for understanding the market.
Economic Intelligence for Patient Financial Performance
A Leadership Series establishing the financial science and decisioning discipline that reframes patient financial performance as an economic decisioning problem rather than an RCM execution problem.
Rethinking a Market Category Built for Execution, Not Economic Performance
Why patient financial performance needs Economic Intelligence before execution.
Read essay
The Patient-Provider Revenue Curve (ARxCurve™)
Why the balance is not the strategy—expected yield is.
Read essay
AI Cannot Optimize What Patient Financial Performance Has Not Defined
Why patient-financial AI requires the right economic objective before it acts.
Read essayMarket references & press
View all
How a Non-Apple Patent May Change the World — Forbes
Forbes highlighted ARxChange intellectual property as transformative to the structure, organization, and performance of the receivables market.
Read article (opens in new tab)
Patient-Centric Financial Care — HFMA
ARxChange's adaptive financial assistance model tailors patient financial care to each individual's economic circumstances, supporting fiscally responsive, patient-centric financial care.
Read article (opens in new tab)
Mastercard + ARxChange
Mastercard and ARxChange partnered to modernize healthcare payment and consumer experience by combining adaptive financial assistance technology with billing and payments capabilities.
Read article (opens in new tab)Recent webinars
Proof
What healthcare leaders are saying.
“We now lead the market for helping providers address their self-pay challenges by integrating our operation and custom transformational capabilities with ARxChange”
“Through an integrated solution suite including self-payment analytics, driven by big-data science and investment-grade performance, ARxChange helps South Carolina healthcare providers improve net revenue and performance of self-pay receivables”
“In today's challenging healthcare economy, hospitals require advanced financial solutions that reduce bad debt and drive margin improvement. ARxChange provides exactly that to hospitals”
“The sophisticated wealth and economic analytics of ARxChange determine the truest portrayal of patients' financial resiliency and their optimal debt-settlement capacity”
“Together with our revenue cycle practice management, our clients now utilize advanced analytics from ARxChange that drive focused revenue improvements and increased margins”
“Given today's dynamic healthcare environment, we believe it is essential to offer new and innovated options like ARxChange”
“Combining our technologies with ARxChange delivers the market's most streamlined patient receivables solution through a single point of access”
“Powered by ARxChange analytics, our enhanced patient analytics and engagement platform provides the optimal degree of performance visibility”
“Transformative intellectual property that appears to govern the entire structure of the market”
“We've generated millions per year in incremental cash through ARxChange data-guided insurance discovery and patient revenue strategies”
Featured In
FAQ
Plain answers for providers, partners, and the market.
Clear answers on what ARxChange does, how Economic Intelligence differs from traditional RCM, and why financial diagnosis should come before workflow execution.
What is economic intelligence in healthcare?
Economic intelligence extends beyond analytics, propensity scoring, and traditional RCM prediction by turning account-level financial, behavioral, coverage, affordability, and revenue signals into optimization science — the financial equivalent of clinical diagnosis: identifying the condition, comparing treatment paths, and directing the economically correct action.
How is ARxChange different from RCM software?
RCM software executes workflows. ARxChange sits before execution to determine which financial path should happen first, which path is most likely to perform, and where activity may delay revenue, leak value, increase cost, or add burden.
How does ARxChange improve patient financial performance?
ARxChange improves performance by aligning each patient-financial encounter with the engagement path most likely to improve resolution, financial fit, payment-plan performance, financial-assistance alignment, and provider revenue.
Does ARxChange replace existing EHR or RCM systems?
No. ARxChange complements existing systems by directing higher-fit, higher-yield actions into existing revenue-cycle, engagement, payment, point-of-service, and post-discharge workflows.
What financial pathways can ARxChange determine?
ARxChange can route balances toward coverage, charity/FAP, hardship support, payment plans, financing, outreach, discounting, reclassification, or other resolution paths.
Who uses ARxChange?
ARxChange is used by providers, RCM partners, consulting firms, and performance organizations seeking stronger patient-financial outcomes across coverage, assistance, engagement, payment, and resolution workflows.
About
Leadership in patient-financial intelligence.
ARxChange supports leading health systems — including U.S. News & World Report Top 20 organizations, major academic medical centers, IDNs, urban, community, regional, rural, and Critical Access Hospitals — with economic intelligence systems designed to improve patient-financial performance without replacing existing infrastructure.
Executive Leadership Founder-led management team with proven track record.
James A. Zadoorian, Ph.D.
Jim brings nearly 30 years of experience across healthcare strategy, patient financial innovation, healthcare operations, and public policy. He is widely recognized as a pioneer in patient affordability design, with senior operational and policy leadership experience spanning New York and Washington, D.C. Over two decades, Jim has helped define and patent the governing principles for ranking, sorting, scoring, and valuing consumer receivables across all U.S. markets, shaping how affordability and financial risk are assessed at a national scale. He is the architect of ARxChange's core IP and financial decisioning framework and has worked with global organizations, including Deloitte and Pfizer, on initiatives advancing patient financial access and affordability. He leads product vision, enterprise strategy, and organizational execution across the company.
Joseph E. LaManna, MBA
Joe is a seasoned enterprise operator and growth executive with decades of experience scaling complex healthcare, technology, and services organizations. He has led enterprise sales, business development, financial planning, and revenue execution at global and category-defining firms including Goldman Sachs, NYNEX/Bell Atlantic, Register.com, and DoubleClick (Google). Joe brings deep expertise in building institutional-grade go-to-market engines and managing large, multi-stakeholder customer relationships, including major health systems and IDNs. At ARxChange, he leads enterprise strategy, revenue growth, financial planning, and strategic partner development — driving disciplined execution and scalable commercialization.
Intellectual Property A patented foundation for patient-financial intelligence.
Contact
Let’s talk.
Talk with ARxChange about economic intelligence, patient financial performance, workflow direction, or partnership opportunities.