About 37 million people in the U.S. have chronic kidney disease, yet about 40% of people with severely reduced kidney function don’t know they have chronic kidney disease, according to the Centers for Disease…
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Nearly half of the U.S. population lives in a mental health workforce shortage area. Horizon Healthcare Services is working to address this by adding Resilience Lab to its commercial network, the companies announced last…
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Last week, the CFO of the country’s largest private psychiatric hospital operator stated that the company chooses which patients to treat based on whose insurance plans offer the highest payments. Steve Filton, CFO of…
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Specialty medications are often used to treat complex diseases, many times in life-saving situations. But the robust process to onboard a patient on a specialty medication highlights an urgent need to modernize healthcare technology,…
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Healthcare costs have spiraled out of control in the United States. But studies have shown how as much as one-third of healthcare expenditures can be attributed to wasteful or fraudulent healthcare services.THE PROBLEM
There’s also…
Otherwise known as medical management, payer care management is an area that continues to be important for payers throughout the US market. Care management solutions offer analytical tools and workflow features that assist healthcare…
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Requests for medical records have grown enormously in recent years—and that’s as it should be. Because data allows for better decision-making, patient records are being requested by payers, communities of care, and patients themselves….
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Requests for medical records have grown enormously in recent years—and that’s as it should be. Because data allows for better decision-making, patient records are being requested by payers, communities of care, and patients themselves. …
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Hospitals and health systems, overburdened by pandemic-induced staff shortages, are in need of tech to improve workflows, reduce stress and save money. The claims denial process, which is a significant time suck and prone…
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With laws such as the “No Surprises Act,” government has thrown its considerable weight behind the pressure on payers and clinicians to give patients good-faith estimates of the total cost of treatment. According to…
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