Healthcare does not lack the data needed to better understand oncology costs. What it does lack is a consistent way to connect clinical progression with financial impact in a time frame that aligns with strategic planning.
It starts with a simple mindset shift, realizing that a successful AI journey begins with identifying a business problem, not with technology. The plans that make real progress embrace this mindset first then follow these five steps.
Healthcare payments are no longer about transactions. It’s about controlling the revenue cycle. And increasingly, that control is not sitting with ISOs.
States must rethink how program integrity is designed and delivered by focusing on four key priorities that enable oversight to scale alongside these programs.
The MENA evidence gap for selected portfolios is becoming a commercial liability for drugmakers that could have been prevented at the design stage.
Zelis CEO Amanda Eisel discussed how AI can create value when it is applied to measurable outcomes: simplifying claims workflows, reducing administrative burden, strengthening payment integrity, improving the payments experience, and empowering members to navigate their healthcare financial journey with confidence.
We aren't killing the problem that fax created. We are migrating it into a format that carries a higher expectation of automated processing — without yet having solved the underlying challenge that made automation hard in the first place.
Veradigm examines key clinical trends, comorbidity profiles, and treatment trends across adolescence, reproductive years, and peri-/post-menopause. Download it today!
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A July 22 webinar, scheduled for 1 pm ET and sponsored by Verato, will explore why the next era of payer performance will depend on building a trusted data foundation that connects people, providers, and relationships across the enterprise.
America funds the crisis. It’s time to fund the care that prevents it.
Today’s adjustment offers insight into what the next phase of the program is focusing on and will subsequently reward, and why this moment matters, especially for newer and regional plans.
By reducing administrative burden and redesigning workflows around human needs, it creates space for what matters most: connection between clinicians and patients.
The industry needs a framework that can translate clinical nuance into a consistent, trusted representation across systems and use cases.
Our new report will focus on how people who work for payers are thinking about AI and cybersecurity needs to protect sensitive healthcare data.
If hospitals are going to stay ahead, revenue cycle leaders must shift from reaction to strategy. Here are some key areas of focus.
The defining capability of modern health plans is intelligent engagement with unified infrastructure.
The message to the industry is clear: If your business model is optimized only for FFS, you are the legacy. The future of healthcare belongs to those who can trade hours spent for improved patient lives.