By Matt Seefeld – Behind staffing shortages and reimbursement pressure lies another challenge: complex billing workflows that force small teams to spend valuable time chasing payment instead of delivering care.
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By Noah Breslow – For a long time, hospitals could count on one thing: even when reimbursement was complicated, it was still mostly predictable. Care was delivered, claims were submitted, and while denials happened, revenue generally followed. That is no longer the case.
Reported payers and health insurance industry news from Aetna, UnitedHealthcare, Cigna, Humana, AHIP, HHS and more.
By David Ostrowsky – For some Americans, there is a natural tendency to conflate healthcare with health insurance. Perhaps on the surface, they seem one and the same, but in reality, of course, they are entirely different entities: the former involves providing services and treatment while the latter involves paying for services and treatment.
By Renuka Rayasam – Despite a contentious back-and-forth and the longest government shutdown in history last fall, the GOP-led Congress allowed enhanced ACA subsidies, which had helped millions of Americans cover all or part of their marketplace premiums since 2021, to expire on Dec. 31.
Reported payers and health insurance industry news from Carda Health, CVS Health, Anthem Blue Cross and Blue Shield, Independence Blue Cross, AHIP, The Cigna Group, Medica, Humana, UnitedHealthcare, CareFirst BlueCross BlueShield, and more.
As leaders move health care quality programs toward a technology-enabled future, accountable care organizations (ACOs) can play an integral role in piloting new initiatives, such as digital quality measures (dQMs), and evaluating the feasibility of approaches.
By Casey Williams – How Clear, Personalized Payments can Drive Patient Engagement and Collections – Amid constant change in the healthcare industry, providers and health systems continue to face the same challenge: helping patients navigate the finances in their care journey with compassion, while keeping the services they rely on sustainable.
Reported payers and health insurance industry news from American Medical Association, TenDollar Telehealth, Anthem Blue Cross and Blue Shield, Humana, Aetna, AHIP, Independence Blue Cross and more.