Better AI + Correct Provider Guidance = Fewer Denials
How do we tip the scale to lower the rate of denials? While AI has been the initial decision-maker for years, it must become better trained. And to do that, it needs help.
How AI Will Change the ePrescribing Experience for Patients, Providers and Pharmacies
There are a number of important ways AI will impact patients, providers and pharmacies in the coming year. They break down into three key areas.
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The 5 Best Software to Buy for Managing a Spa Franchise
Choosing the right software translates directly into better client management, operational efficiency and growth for your spa franchise. Discover which tool is best for your business.
Analyzing the Medicare Advantage Terminations: Concerns, Drivers, and Solutions
Both providers and payers face challenges and understanding the requirements and needs of each stakeholder has the potential to lower the temperature of the current rhetoric.
Report: Provider, payer websites are go-to online resources for patients making care decisions
Healthcare consumers are increasingly turning to the internet to research their care options, and provider and payer websites are among their top choices for information, according to a new survey of 1,000 U.S. adults. Over half of the respondents said they would use a provider or payer website to search for a new doctor.
SCAN Health’s 1st chief innovation officer: The patient is the North Star of all innovative efforts
In a wide-ranging interview, Dr. Scott Weingarten, the payer's inaugural chief innovation officer, discussed his priorities in his new role, including the new payer-agnostic geriatric primary care group he will help launch.
Being “complaint proof” on information blocking won’t be easy for providers, vendors
The HHS' information blocking rule goes into effect Monday, and for nearly a year, providers and IT vendors have been racing to prepare. But they have faced several hurdles along the way, including figuring out how to handle scenarios that could make them non-compliant.
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Why Your Patients Are Leaving and How to Stop It
Patient expectations continue to evolve, and healthcare practices that fail to adapt risk more than just revenue—they risk losing trust.
Mercy, Humana partner to expand access to virtual, value-based care
The health system and payer are joining forces to offer Medicare Advantage patients access to Mercy's telehealth center. They also plan to implement a value-based payment model, tying reimbursement for Mercy clinicians to care quality measures.