XiFin, a company specializing in revenue cycle management (RCM) with integrated artificial intelligence (AI), has joined the Pharmacy Interoperability and Clinical Services Alliance (PICSA) to support the expansion of pharmacists’ roles in delivering clinical services and improving healthcare interoperability. XiFin, which develops billing solutions enhanced with embedded AI, announced its membership in PICSA. The Alliance was established by Leavitt Partners, an HMA Company, with the goal of advancing scalable pharmacist-provided clinical services and interoperability across the healthcare ecosystem. David Pope, PharmD, Chief Pharmacy Officer at XiFin, stated that the company supports PICSA’s shared vision of fully integrating pharmacists as essential clinical providers. This move by XiFin comes as national momentum builds for expanded pharmacist clinical authority, including proposed federal legislation such as the Ensuring Community Access to Pharmacist Services (ECAPS) Act. XiFin’s participation is intended to help prepare the industry for a future where pharmacists play an increasingly formalized role in delivering and billing for clinical services. By joining, XiFin aims to support PICSA’s focus on enhancing the patient experience, reducing care fragmentation, and advancing interoperability within healthcare. Despite their growing importance in clinical care and meeting patient needs, pharmacy operations often remain isolated from other areas of medical care delivery. As a PICSA member, XiFin will collaborate with experts across the pharmacy sector, along with technical vendors and health plans. This collaboration will focus on identifying quality metrics, shaping policy frameworks, and developing standards for reimbursement pathways designed to demonstrate the value of seamless delivery and recording of clinical services. The initiative intends to prioritize Medicaid and commercial adoption across diverse care settings. A key objective is to establish return on investment (ROI) frameworks that aim to reduce administrative burdens by creating standardized pathways for data exchange and medical billing, while also demonstrating the measurable value of pharmacist-provided care. Dr. Pope reiterated the importance of these efforts: “As proposed policies like ECAPS continue to advance, it is critical that we identify and share best practices that inform frameworks for sustainable reimbursement and care team integration. These efforts can transform workflow integration and establish consistent, sustainable standards across all pharmacy settings, which is critical to supporting this vital sector.” XiFin will contribute its expertise in interoperability and RCM innovation to assist PICSA in several areas. These include shaping implementation guidance for pharmacist-delivered clinical services to enable seamless adoption within pharmacy workflows and reimbursement pathways; demonstrating the value of connectivity and real-time data exchange in advancing pharmacist-provided clinical services; and strengthening policy readiness by aligning real-world ROI and implementation success with evolving reimbursement and standards frameworks. Since its inception in August 2025, the Alliance has made progress, achieving alignment on three primary challenges: credentialing, billing, and real-time clinical data exchange. These challenges are currently hindered by state and payor nuances, taxonomy misalignment, lack of universal approaches, isolated environments, fragmented systems, and excessive manual processes, which limit scalability and the capacity to serve patients. Within the first 90 days, PICSA created a “Pharmacist as a Provider onboarding playbook” and helped develop a national view of provider enrollment nuances and the credentialing landscape. It has also begun aligning stakeholders on a strategy for unified access, use, storage, and data exchange, and has developed a standards catalogue for use in future gap analyses. The Alliance plans to target specific states for piloting in 2026. Kim Boyd, Principal at Leavitt Partners and Executive Director of PICSA, expressed enthusiasm for XiFin’s involvement. She stated that XiFin’s leadership in helping pharmacists overcome fragmented workflows and inconsistent reimbursement models will be valuable as the Alliance works to expand pharmacists’ ability to deliver essential patient care, particularly as national policy continues to evolve.