denial management

As financial pressures grow, CFOs are eyeing Direct Primary Care as a more stable, patient-focused alternative?though not without risks and...

The volume of commercial payer claim denials continues to rise and the appeals process has slowed, according to a new...

Trump administration officials applauded the insurance industry for its willingness to change, but also acknowledged limitations of the agreement.

At HFMA, themes of payer collaboration, operational leadership, and smarter investments are dominating the conversation.

The numbers are in, revealing a clear performance gap between providers on eight KPIs. See the metrics that separate top-performing...

The latest data from Kodiak Solutions shows significant variation among provider organizations in their performance against key performance indicators (KPIs),...

In the past 15 months, CMS has quietly offered roughly three-month special enrollment periods allowing MA members in 13 states...

Frustration with insurers is at an all-time high.

Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.

Experts say it could be one of the boldest attempts in the nation to rein in health insurer denials, before...

Advocates say it's time Montana joined many other states in limiting how and when insurers can deny drugs or treatments...

The probe found widespread noncompliance and violations of federal law in how health plans and insurers cover mental health care,...