What You Should Know
The Crisis: Despite soaring demand from an aging population, home health referral conversion rates have dropped 13% since 2018, leaving 4.2 million patients without recommended care in 2024 due to capacity…
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Engineering Prior Authorization for WISeR: Six Ways Providers Can Prepare for AI-Assisted Prior Authorization Under the WISeR ModelBy Ryan Redman, JD
Ryan Redman, JD is product manager at Onspring.
The Wasteful and Inappropriate…
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What You Should Know
The News: Ventra Health has launched vCision, a new revenue intelligence platform powered by “Agentic AI” (autonomous digital agents) to optimize the revenue cycle for facility-based physicians.The Partnership: The platform was…
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The pace of change in health IT has outgrown traditional multi-year roadmaps. In an exclusive sit-down interview at the Greenway Health User Conference (#Engage2025), David Cohen, Chief Product and Technology Officer explained why the…
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Shay Perera, co-founder and Chief Technology Officer of Navina
As healthcare organizations deepen their investments in value-based care, one obstacle continues to stymie progress: incomplete visibility into the patient’s health status. The problem isn’t limited…
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What You Should Know:
– EnableComp®, recognized for resolving the toughest challenges in Complex Revenue Cycle Management, announced its acquisition of Health Resources Optimization, Inc. (H/ROI), a premier clinical denials and revenue recovery firm serving…
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Inger Sivanthi, Chief Executive Officer of Droidal
The Crisis Facing Healthcare Financial Leaders
Healthcare financial leaders are navigating an environment of unprecedented complexity. Your organization is caught between escalating operational costs and a relentless denial rate…
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Martha Thorne, SVP and General Manager, EnlivenHealth
2025 has been a year of hard truths for retail pharmacy.
Persistent reimbursement pressures, escalating fees, workforce shortages and policy whiplash have forced many operators to rethink how they…
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Accurate coding needed as provider-payer AI arms race heats up | Healthcare IT News
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