By Anne Neal – For years, the industry has measured payment integrity success largely through recoveries, savings, and avoided overpayments. However, achieving those metrics often comes at the cost of significant abrasion that manifests as claims rework, provider tension, cash flow unpredictability, and poor member experience.
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Latest announcements made from companies and organizations on hiring include Ellipsis Health, AllyGPO, Trialbee, OptimizeRx, AGS Health, NASCO, Carenet Health, Ebix, Nabla, Availity, AArete, Bridge Oncology, DirectTrust, Point-of-Care Partners, Pivot Point Consulting, & FINN Partners.
By Chris Kenyon – The Centers for Medicare & Medicaid Services Interoperability and Prior Authorization Final Rule (CMS 0057 F) is often discussed as a health plan problem to solve. Are plans compliant? Are the APIs live? Is the data finally reliable? Those are fair questions, but they’re not the only questions providers should be asking.
Health IT business news from mBIOTA Labs, TytoCare, Revecore, SYNERGEN Health, Inito, Sagility, ShelterZoom, IMO Health, Amplity, Azara Healthcare, CCS, RxUtility, Zyter, Verana Health, VisiQuate, Availity, First Databank, AGS Health, NAACOs, and more.
This month’s AI report includes news and updates from Nabla, Aultman Health System, Accuity, SWBC, Certilytics, ATA, Altoida, Mindspan, Abridge, Availity, Tempus, NYU Langone Health, GeneDx, Komodo Health, MedeAnalytics, Basys.ai, CloudMoyo, rater8, EBIX, MediKarma, MDisrupt, & b.well Connected Health.
By Curtis Miller – How Unified Provider Lifecycle Platforms Are Powering Healthcare’s Next Wave of Decision Intelligence – For years, healthcare’s biggest breakthroughs have been driven by the promise of greater insights. Yet, even as artificial intelligence and predictive analytics transform other industries, healthcare continues to wrestle with…
Moving our healthcare system into the digital age, better outcomes, controlling and reducing costs, and patient access to their health data. Our monthly HIE rundown includes updates on industry interoperability news, TEFCA, HIE networks, job openings and vendor contracts.
Latest announcements made from companies and organizations on hiring include CaduceusHealth, PointClickCare, Availity, Elemeno Health, Medicus IT, Ardent Health, Greater Good Health, eClinical Solutions, American Oncology Network, Evidently, Wondr Health, CVS Health, LifeStance Health, & AMA.
Business and financial news from Waystar, SeamlessMD, Infinx, HITRUST, Availity, Lightbeam Health Solutions, Laudio, Omega Healthcare, Promise Bio, Luna, Abundant Health Acquisition, Palomar Health, PayZen, Brook.ai, Oracle Health, Confido Health and more.