denials

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

From relentless claim denials and payer pressures to policy debates around prior authorization and the 340B program, this mid-year briefing...

Here's how CFOs can keep pace with, or even get ahead of, payers.

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),...

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those...

The House of Representatives is considering legislation that would reform the way payers use prior authorization. Which payers would the...

A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior...

"Proactive not reactive" cost containment strategies are vital for finance executives.

The measure includes a half-dozen restrictions on other PBM practices the smaller pharmacies call anticompetitive.

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