payers

Several payers are accusing providers of driving higher healthcare costs through aggressive coding practices.

Almost 4 in 10 disputes submitted to the IDR process are deemed ineligible by insurers.

Insurers report that nearly 40% of payment disputes filed under the No Surprises Act's independent dispute resolution (IDR) process are...

The integrated health system has a grand vision to use conversational AI as an 'added member of the care team'...

The government shutdown is unsettling hospital-at-home programs, threatening revenue streams and pushing CFOs to rethink cash reserves, home-care strategies, payer...

Data is power in the provider-payer "AI arms race," says Christina Slemp of UNC Health, who explains how providers can...

The arbitration process established by the No Surprises Act has generated $5 billion in costs and significant operational challenges, yet...

Failures have resulted in the erroneous loss of health coverage and other vital safety-net benefits for low-income people.

A new piece of legislature might ease Medicare Advantage reimbursement struggles for providers.

The Urban Institute projects a $32.1 billion single-year revenue loss for providers if ACA subsidies expire, a threat magnified by...

A new analysis of price transparency data reveals massive and often irrational variations in payer rates, arming providers with powerful...

A new HFMA report highlights a national healthcare affordability crisis with significant implications for your revenue cycle.