Are payers paying less, and slower? It costs more to collect a dollar than it did a…

Where Substrate ARC: Autonomous Revenue Cycle stands, from its brief

They position Substrate as an autonomous healthcare revenue-cycle system that recovers denied revenue and improves practice economics. Their ads rely on repeated proof points around denial leakage, fast deployment, hands-free work, and EBITDA impact. You can compete by making your mechanism, measurement rules, implementation effort, and human controls more explicit.