In an interview, Will Barnett, Veradigm Senior Solutions Manager, talked about the health tech vendor’s clearinghouse services and how they manage the relationship between payers and providers in support of evidence-based care and value-based care strategies.
High-performing groups treat utilization with the same rigor they apply to coding and quality. Here are four key principles we’ve seen successful organizations adopt.
Alan Murray on improving access for medical transportation.
In a recent interview, Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health, discussed employers' challenges in accessing medical data, emphasizing the need for transparency and potential strategies to enhance their fiduciary responsibilities.
Health plans can reduce late payment interest by up to 25% year over year by focusing on three critical areas.
Kraft Heinz recently sued Aetna, claiming that the insurer is not providing all of Kraft Heinz's medical claims data. More lawsuits of this sort are likely to come, experts warned.
Trilliant Health created a new AI-powered index for comparative hospital benchmarking. Healthcare stakeholders across the entire industry — including hospitals, payers, device companies, drugmakers and tech vendors — can use the tool to inform their strategies for things like competitive analysis, clinical quality program management, mergers, acquisitions and product sales.
Across the nation, state-based health insurance exchanges are searching for ways to better serve their communities while making enrollment easier, more personal, and more accessible for everyone.
The fact that a majority of denied claims are preventable is only one aspect of a much deeper problem. Reworking claims take time, money, and resources. But here's how resource-strapped providers can leverage artificial intelligence to reimagine claims management.
According to an analysis of 1.8 million medical claims, employers’ claims were down 4% in 2020. Although telehealth visits plateaued at the end of the year, they made up nearly 1 in 5 visits.