MRO wants to make the exchange of data between providers and payers more frictionless.
They have developed a new solution that caters to this payer-provider interface. By bridging this data gap, MRO aims to enhance…
Payer organizations are responsible for making payments toward their members’ healthcare services. They have to ensure that payments are accurate, resolve any under- or overpayments, and detect patterns of fraud, waste, and abuse (FWA)….
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Today, virtual and in-person healthcare providers working together within hybrid collaborative care models are increasingly demonstrating their ability to improve outcomes and accelerate the industry’s shift towards value-based care.
By offering access to specialized care…
The previous article in this series explained some of the ways payers, providers, and digital health companies demonstrate that they have made a positive difference in their patients’ lives.
Jim Wallace, CEO of DecisionRx, writes…
INVEST 2024 will be back at the Ritz Hotel in Chicago, May 21-22, and we are once again on the hunt for novel startups who will pitch LIVE in front of venture capitalist judges….
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Healthcare robotic process automation vendor Olive AI shuts down after selling its clearinghouse and patient access assets to Waystar and its prior authorization line to Humata Health.
Olive, which was once valued at $4…
From left to right: Josh Berlin, CEO of rule of three, LLC; Sunita Koshy-Nesbitt, chief quality officer for the hospital channel at Texas Health Resources; Steven Stepp, chief data officer at Blue Cross and…
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Medicaid redetermination will result in a material decline in revenue this year for health plans across the country. Now more than ever, payers need a comprehensive strategy to ensure all earned income per encounter…
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It’s not an easy time to be a retail pharmacy chain. This is especially true for Rite Aid, which filed for Chapter 11 bankruptcy protection in New Jersey on Sunday.
In order for the company…
Panel discussion on Harnessing AI and Analytics as a Force for Good at Payer Insights Program. From left: Arundhati Parmar of MedCity News (moderator); Amir Azarbad, of 10Pearls; Dr. Ainsley MacLean of Kaiser Permanente;…
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