By Mark Taylor – Hospitals have EHRs. Health plans have care management platforms. Community organizations have case management tools. State agencies have eligibility, reporting, and program management systems. In many cases, those tools work well enough for the people using them every day. The issue is what happens when those organizations need to work together.

NOW on Demand Tell Me Where IT Hurts episode with host Dr. Jay Anders and his guest Kimberly Brandt, Chief Operating Officer and Deputy Administrator at CMS. They discuss slow value-based care adoption in Medicare, CMS’s data quality push through FHIR APIs and USCDI, and how AI will help flag fraud across millions of daily claims.

By Dr. Muhammad Numan – Every week, medical billing errors cost U.S. healthcare organizations millions of dollars. Put that on a yearly scale and the numbers add up fast. According to one estimate, U.S. providers lose over $262 billion annually to revenue cycle inefficiencies alone.

By Nick Bonds, Esq – Artificial intelligence is rapidly transforming the healthcare landscape, touching everything from how drugs are developed to how care is delivered and how claims are processed. For self-funded plans and their partners, AI presents meaningful opportunities to improve efficiency and outcomes.