What You Should Know:
– According to Kaufman Hall’s 2025 Health System Performance Outlook, hospitals are facing a “financial trifecta” of rising non-labor expenses, workforce instability, and aggressive payer reimbursement pressures.
– Nearly 60% of health…
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What You Should Know:
– EHR interoperability holds immense potential to improve patient care decisions, enable innovation, and reduce administrative churn. However, a new report from KLAS Healthcare IT Insights reveals that despite advancements in…
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What You Should Know:
– MDI NetworX, a leader in healthcare business process solutions, today announced the acquisition of Cobalt MedPlans (Clarity Performance Solutions) from Cobalt Health Solutions. The transaction was executed with Blue Cross…
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What You Should Know:
– Ember, the AI-native solution for denial prevention secures $4.3M in seed funding round led by Nexus Venture Partners and Y Combinator.
– Its platform uses deep knowledge of payer policies to…
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Ritesh Ramesh, CEO of MDaudit
In late 2023, a multi-hospital health system in the Southeast saw a sudden spike in payer requests for documentation. The compliance team had been running routine retrospective audits, but the pace…
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What You Should Know:
– Humata Health, a provider of AI-powered prior authorization technology, has been selected by the Centers for Medicare & Medicaid Services (CMS) as a key partner for its new initiative: the…
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The following is a guest article by Mark Noel, SVP and GM of ClaimInsight at AMPS
As health plans face escalating medical costs and increasing scrutiny over member and provider satisfaction, a critical strategic challenge…
What You Should Know:
– ŌURA and Cigna Healthcare have announced a strategic collaboration aimed at integrating continuous biometric insights with expertise in preventive care and chronic disease management.
– The partnership builds upon ŌURA’s earlier…
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The last day of HLTH is when the crowds thin out, the conversations go deeper, and the real discoveries start to emerge. Day 4 delivered smart insights, standout tech, and a look at where…
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Eugene Gonsiorek, PhD, VP of Clinical Regulatory Standards at PointClickCare
The chorus of voices singing the praises of value-based care is growing ever louder. But in LTPAC, it still feels like the system’s asking providers…
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