Aurene Wilford, KLAS’ Insights Director for the K2 Payer/Provider Collaborative
The success stories emerging from payer-provider collaborations offer a hopeful counterpoint to the fragmentation and frustration so often heard about in healthcare. These strategic alignments between…
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What You Should Know:
– MacroHealth, a healthcare technology company offering an intelligent healthcare marketplace for payers and their vendor partners acquires ClearCost Health, a leader in provider search and price transparency solutions. Financial details of…
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Russ Thomas, CEO at Availity, shares that 80% of the prior authorization requests made through the company’s Intelligent Utilization Management solution are “touchless,” meaning that responses are returned without the need for manual processing by…
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What You Should Know:
– ZeOmega®, a population health and interoperability technology company announced it has been selected by the Massachusetts Health Data Consortium (MHDC), a nonprofit advancing health data sharing, to transform prior authorization…
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In this interview, Julia Goebel, Chief Marketing Officer at Komodo Health, surveys the current state of health care data, the importance of high-quality data in the deployment of new technologies such as AI, and…
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Reva Sheehan, Senior Director, Consumer Insights at mPulse
The new administration shed light on policy issues at the top of providers’ lists for 2025. While topics like physician burnout and Medicare payment reform were included,…
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What You Should Know:
– MedeAnalytics, a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) leader, and ZeOmega®, a population health management organization, today announced the co-development of Population Health Navigator (PHN).
– The new…
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What You Should Know:
– John Snow Labs, a prominent AI company in the healthcare sector, today announced the launch of Martlet.ai, a new healthcare AI company dedicated to redefining how payers and providers approach…
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Top News
CMS announces a six-year pilot in six states to test tech-enabled prior authorization for traditional Medicare, which has traditionally avoided prior authorizations.
Participating organizations will be paid based on reducing inappropriate utilization. CMS…
The two hot topics around the virtual physician lounge this week, not surprisingly, involved comments or policies from the new Secretary of Health and Human Services.
Physicians are dreading upcoming changes in vaccine reimbursement,…
