By Emad Rizk MD – COVID-19 exposed many weaknesses in our healthcare system and exacerbated fraud, waste and abuse. As the federal government waived restrictions around various reimbursements for Medicare patients as well as encouraged plans to be more…Read More
Healthcare Revenue Cycle and Finance
By Pamela J. Gallagher – In 2019, emergency departments across the U.S. saw an average of 2.1 million patients per week, according to the CDC. Over the past several decades, healthcare organizations have invested large amounts of money, time, and effort to study the trend of…
NAACOS reported that Medicare’s largest alternative payment model by far had another record year of savings while continuing to provide high-quality care, as shown by data on 2019 performance released by CMS. Check out ACOs reporting savings.
Latest news being reported on payers and the health insurance industry including news from insuranceQuotes.com, Centene Corporation, CVS Health, AVIA, Independence Blue Cross, Premera Blue Cross, CareFirst BlueCross BlueShield, ArmadaHealth, Blue Cross Blue Shield Association, UnitedHealthcare, Humana, Cigna Corporation and more.
By Devin Partida – Medical professionals prioritize giving people high-quality care and ensuring those patients get paid for that treatment via successful insurance claims. When a person deals with too many denials, their insurance plan becomes largely useless.
By Sarah Jane Tribble – Jerome Antone said he is one of the lucky ones. After becoming ill with COVID-19, Antone was hospitalized only 65 miles away from his small Alabama town. He is the mayor of Georgiana — population 1,700. “It hit our rural community so rabid,” Antone said. The town’s hospital closed last year.
By Deirdre Ruttle – In direct response to the COVID-19 crisis, the healthcare industry experienced a transformation. Social distancing guidelines continue to limit in-person contact and crowded spaces whenever possible. The patient and provider relationship relies on technology for safe interactions.
Latest news being reported on payers and the health insurance industry including news from CVS Health, Aetna, FAIR Health, Humana, Clover Health, Staywell Health Plan, Vive Benifits, SimplePay, Landmark Health, Molina Healthcare, UnitedHealth Group and more.
By Dan Schulte – Provider healthcare technology has progressed rapidly toward advancing clinical care. Despite the great advances in provider technology, innovation has been comparatively slow for most providers’ financial processes.