How Can Payers Use Tech to Their Best Advantage?
A new eBook from Veradigm highlights operational best practices and emerging trends at this transformational time in healthcare.
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Redefining Payer Operations: Data-Driven Strategies for the Future of Healthcare
Get actionable strategies and insights from industry leaders to help payers navigate digital transformation, optimize outcomes, and stay ahead in a value-based care environment.
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These Are the Top-Rated Autism Therapy Centers in Texas
There are a number of criteria for selecting the best autism therapy centers. Parents choosing a facility or professionals seeking to improve their offerings should consider certain standards to ensure the right fit.
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Transforming Healthcare Through Contextualized, Decision-Ready Insights
Turn complex healthcare data into clear, context-rich insights that drive faster, smarter decisions.
Is Payers’ Provider Data “Clean, Complete, and Centralized” or is There a Crisis of Overconfidence?
In this whitepaper, ProviderTrust outlines the overwhelmingly positive survey results and compares them to our experiences getting up close and personal with the provider data in question.
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From Data Silos to Integrated Care: Driving Provider Engagement
Explore how integrated workflow solutions—powered by Veradigm’s suite of products—can transform your operations into a more efficient, connected healthcare system.
How a Tiny Federal Agency Supports Innovation & Competitiveness in the Scientific Community
The law that created ASTP as a formal federal agency gave it duties such as supporting a more effective marketplace and greater competition. Stephen Konya, ASTP’s chief, innovation and strategic partnerships, explained how the agency carries out its mission.
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The Top Appointment Scheduling Software for Wellness Clinics
Scheduling software is helpful for wellness business owners in numerous ways. They get everything they need to create appointments, reschedule clients and track cancellations in one platform.
How Healthcare Employers Can Do More To Help Providers Manage Payer Frustration
Health insurance claims are a growing headache for providers; many say their employers could do more to help them address the daily demands of insurers
It’s Time for Health Plans to Hold Behavioral Health Providers Accountable for Outcomes
For too long, the behavioral health industry has lacked the accountability mechanisms required to deliver on the high quality care that patients deserve. Provider organizations are proving day in, day out that when strong accountability becomes the standard, patients benefit, and the system as a whole grows stronger.
How Payers are Using AI to Deny Claims and Dent Provider Revenue
While AI has the potential to streamline processes, its current use in the revenue cycle is resulting in more claim denials, payment delays, and a greater need for appeals, particularly because payers often use AI to retroactively review medical necessity determinations.
Remote Patient Monitoring Works … What are Payers and Providers Waiting for?
To overcome challenges and ensure that RPM reaches its full potential, both providers and payers need to implement several key strategies — and technology is a key component to making everything easier on all organizations.
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Immune Support on Demand: Ranking the Top Mobile IV Therapy Companies
Explore the top mobile IV therapy companies boosting immune health on demand, with standout services, expert care and innovative delivery across the U.S.
Unlocking Hidden Revenue: Transforming RCM Challenges into Financial Wins
As our industry continues its path toward value-based care, evolving payer models, and increasingly stringent regulations, revenue cycle processes will become even more complex. Providers can prepare by following these steps.
Increasing Efficiency and Reimbursements with Clearinghouses
Clearinghouses are just one great example of how the enhanced exchange of healthcare data can increase efficiency for healthcare providers and the greater healthcare community.
Finding the Cure for Data Interoperability in Value-Based Care
Payers and providers alike are struggling with data interoperability. It's clear that a more unified approach to data management is essential for payers to effectively navigate the complexities of value-based care.
How Payers Use Tech to Support Healthcare Transformation
Executives at the ViVE Payer Insights event earlier this year discussed prior authorization, AI, value-based care and the role of tech to help achieve their goals.
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Unlocking Transparency in PBM Pricing
Dan Reedy, senior director of pricing and underwriting for Abarca, spoke recently with MedCity News about what payers should consider as they explore new models and press for greater transparency.