Latest news being reported on payers and the health insurance industry including news from UnitedHealthcare, Capital BlueCross, Haven Healthcare, Integrity Marketing Group, LLC, Humana Inc., CareSource, Cigna Corporation, CVS Health Corporation, athenahealth and more.Read More
Healthcare Revenue Cycle and Finance
By Dr. Seth Flam – The risk adjustment rules insist that each new calendar year, diseases and their correlated ICD codes from the previous year, be properly recorded in the current year, when clinically suitable. You may think it common practice that providers would just redocument….
By Lucy Zielinski – COVID-19 has decimated fee-for-service (FFS) revenue. To stay in the game, healthcare providers can use a chess-inspired strategy to rebuild the revenue cycle while preparing for value-based care.
Latest news being reported on payers and the health insurance industry including news from athenahealth, Horizon Healthcare Services Inc., UnitedHealthcare, Anthem, CVS Health, Blue Cross Blue Shield Association, UnitedHealth Group, Humana, Medica, Oscar Health, and more.
More than 500 accountable care organizations, medical practices, and health systems urged leaders in Congress in a letter sent to preserve important Medicare bonuses that encourage participation in risk-bearing alternative payment models.
By Pamela J. Gallagher – Hospitals and health systems have spent the past decade responding to patient and government demands for increased price transparency, and the demand only continues. While the healthcare industry has made strides in ensuring patients know the cost of their care up-front…
By Pavani Munjuluri – When it comes to intelligent process automation (IPA) in healthcare, multiple stakeholders drive technology adoption. Payers, providers and patients all bring their own unique interests and perspectives on how healthcare should operate and in what areas IPA should be used.
Latest news being reported on payers and the health insurance industry including news from Blue Cross Blue Shield Association, CarePlus Health Plans, CareSource, Humana, Independence Health Group, Cigna, AHIP, Molina Healthcare, Priority Health, UnitedHealthcare, Anthem Inc., CVS Health and more.
By David Shelton – A staggering 90% of physicians say manual prior authorizations are a concern, according to the 2019 CAQH Index. Further magnifying the current situation are payers’ intentions to increase prior authorization requirements for even more services in the near future.