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Whistleblowers Accuse UnitedHealthcare/Optum of Medicare Fraud, Denying Critical Care to Nursing Home Patients

Whistleblowers Accuse UnitedHealthcare/Optum of Medicare Fraud, Denying Critical Care to Nursing Home Patients

May 22, 2025May 22, 2025
Lessons Learned from VUMC’s Windows 11 Migration

Lessons Learned from VUMC’s Windows 11 Migration

May 22, 2025May 22, 2025
Layer Health, White Plains Hospital partner for clinical registry reporting

Layer Health, White Plains Hospital partner for clinical registry reporting

May 21, 2025May 22, 2025
Healthcare AI News 5/21/25

Healthcare AI News 5/21/25

May 21, 2025May 22, 2025
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Tag: Claims Management

CCC Intelligent Solutions acquires EvolutionIQ for $730M

CCC Intelligent Solutions acquires EvolutionIQ for $730M

December 23, 2024December 24, 2024MobiHealthNews

Cloud platform provider for the property and casualty (P&C) insurance economy business, CCC Intelligent Solutions (a subsidiary of CCC Intelligent Solutions Holdings), has acquired EvolutionIQ, a platform for AI-powered guidance for disability and injury…

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FinThrive Integrates with Oracle Health Patient Accounting for Claim Management

FinThrive Integrates with Oracle Health Patient Accounting for Claim Management

October 25, 2024October 25, 2024HIT Consultant

What You Should Know:

– Enhanced Claims Management: FinThrive and Oracle Health have completed a collaborative development effort, now certified, that seamlessly integrates FinThrive’s claims management solution with Oracle Health Patient Accounting, enhancing claims processing…

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New Entity Aims to Help Payers Improve Payment Integrity - MedCity News

New Entity Aims to Help Payers Improve Payment Integrity – MedCity News

September 13, 2024September 13, 2024MedCity News

The issue of fraud, waste and abuse in healthcare spending is a major challenge for both payers and providers with some estimates that it accounts for as much as 10 percent of overall healthcare…

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Inovalon and MEDITECH Alliance Partner to Streamline Revenue Cycle Management

Inovalon and MEDITECH Alliance Partner to Streamline Revenue Cycle Management

June 28, 2024June 29, 2024HIT Consultant

What You Should Know: 

– Inovalon, an innovator in cloud-based healthcare data solutions, announced a strategic partnership with the MEDITECH Alliance. 

– The strategic collaboration empowers thousands of healthcare providers using MEDITECH’s electronic health record (EHR)…

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CentralReach Optimizes Claims Process for Autism and IDD Care Providers with CR ClaimCheckAI

CentralReach Optimizes Claims Process for Autism and IDD Care Providers with CR ClaimCheckAI

May 8, 2024May 9, 2024HIT Consultant

What You Should Know: 

– CentralReach, the leading provider of Autism and IDD Care Software for ABA and multidisciplinary organizations, unveiled CR ClaimCheckAI, an artificial intelligence solution designed to streamline and revolutionize the claims process.

–…

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MEMIC Taps CLARA Analytics for AI-Powered Claims Management

MEMIC Taps CLARA Analytics for AI-Powered Claims Management

January 18, 2024January 18, 2024HIT Consultant

What You Should Know:

– Maine Employers’ Mutual Insurance Company (MEMIC), a leader in workers’ compensation insurance, is harnessing the power of artificial intelligence (AI) to revolutionize claims management.

– MEMIC announced its partnership with CLARA…

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Olive Shutters Business After Sale to Waystar and Humata Health

Olive Shutters Business After Sale to Waystar and Humata Health

October 31, 2023November 1, 2023HIT Consultant

What You Should Know: 

– Healthcare automation company Olive today announced it will shut down its business after selling its Clearinghouse and Patient Access business units to Waystar and its Prior Authorization business unit to…

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AI-First Health Plan Operations | Healthcare IT Today

AI-First Health Plan Operations | Healthcare IT Today

August 11, 2023August 11, 2023Healthcare IT Today

The following is a guest article by Deepan Vashi, Executive Vice President and Global Leader at Firstsource
Practical AI Deployments can Enable Health Payers to Improve Efficiencies, Cut Costs, and Improve Stakeholder Experiences
While media pundits…

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The most promising technology is AI combined with what we call "digital endpoints" for each service we provide. Digital endpoints are technologies like online scheduling, asynchronous video visits, and voice and application programming interfaces. The combination of AI and these endpoints mean that we can enable more sophisticated navigation, new business models, reduce friction and improve care delivery.

Aaron Martin

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    May 22, 2025May 22, 2025Comments Off on Whistleblowers Accuse UnitedHealthcare/Optum of Medicare Fraud, Denying Critical Care to Nursing Home Patients
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