Revenue Cycle and Payer News – September 4, 2024
Reported payers and health insurance industry news from Aetna, UnitedHealth Group, Humana, CareSource, CareFirst BlueCross BlueShield, Oscar Health Insurance, and more.
Read MoreHealthcare Revenue Cycle and Finance
How Clinical Data Registries, ACOs, and Payers Can Collaborate for Value-Based Care
By Misty Graham – Key stakeholders in the healthcare industry, including health plans, clinical data registries, and accountable care organizations, must collaborate to improve health outcomes, enhance patient experiences, manage chronic diseases, and provide better access to care while keeping costs low.
Revenue Cycle and Payer News – August 7, 2024
Reported payers and health insurance industry news from Humana, Cigna, The Cigna Group, Blue Care Network, Anthem Blue Cross and Blue Shield, Molina Healthcare, CenterWell, AmeriHealth Caritas, Independence Blue Cross, UnitedHealth Group, CareSource, CVS Health, and more.
How Payers Can Master VBC Contract Management
By Lynn Carroll & David Wolf – The fundamental goal of value-based care (VBC) is to improve patient health outcomes by prioritizing preventive care and wellness, thereby reducing overall healthcare spending through better management of costly chronic diseases.
Unraveling the Financial Ramifications of MSSP ACO Reporting
By James Pelletier – As healthcare providers strive to deliver better outcomes while managing costs, understanding the financial implications of MSSP Accountable Care Organization reporting becomes essential.
Revenue Cycle and Payer News – July 3, 2024
Reported payers and health insurance industry news from Humana, Independence Blue Cross, Medica, AHIP and more.
Is Your RCM Ready for AI? Key Insights for Healthcare Leaders
By Spencer Allee – The next frontier in revenue cycle management is here—denials prevention, resolution, and recovery powered by artificial intelligence and machine learning. The best chance hospitals and health systems have to combat growing numbers of denials is to implement AI in their denials management workflows.
Turning Over Your Revenue Rocks
By Javier Favela – Organizations that make moves to adopt a single, robust practice management system and clearinghouse, integrating all claims and financial rules into one cohesive system, can experience successful financial, operational, and clinical outcomes.
How the Call Center Can Be a Driver for Value-Based Care
By Patty Hayward – Healthcare call centers are embracing artificial intelligence and automation as tools for both improving the patient/plan member experience and streamlining processes to increase efficiency and reduce costs.