FinanceNavigating the Payer-Provider Relationship: 4 Lessons
Kettering Health Network's vice president of managed care, who switched jobs from a payer to a provider organization, shares his...
FinanceWhy Patient Billing Woes are Clinicians' Problem, Too
Clinicians and patients say medicals bills are a 'distraction' from patient care.
How Using AI Automation for Outstanding Claims Accelerated Cash Flow by $20.6M
Using AI-powered automation to follow up on the status of outstanding claims resulted in increased revenues and cost savings for...
StrategyCentene-WellCare Merger Hits DOJ Speed Bump
A request from federal antitrust regulators effectively delays the Centene-WellCare deal from being finalized for at least a month.
StrategyAs Sanders Officially Revives Medicare-for-All, Plan B For Democrats Gains Traction
Many presidential hopefuls, even official co-sponsors of Sanders' Medicare-for-All proposal, are at the same time edging toward a more incremental...
Finance3 Dos and Don'ts of Medicaid Work Requirements
Hospitals should take action in the face of shrinking Medicaid rolls and revenue loss.
FinanceHow Automating Patient Insurance Verification Reduced Denials
Eliminating the manual backend task of checking patients' insurance eligibility reduced denials and AR days at an orthopedic surgery practice...
Nationwide Injunction: Judge Blocks Broader Exceptions to ACA Birth Control Mandate
The new rules give even nonreligious employers the ability to claim a moral objection to offering coverage for contraceptives.
FinanceFeds Slash $99M from Funding Estimate for Minnesota's Reinsurance Program
The unexpected adjustment for 2019 prompted state lawmakers to question the wisdom of the program moving forward.
Finance3 Reasons to Care About Balance Billing Legislation
Hospitals should keep an eye on state and federal efforts to ramp up consumer protections against surprise medical bills.
Finance3 Ways to Improve Front-End Collections
A pre-access center and three-tiered arrivals process is transforming point-of-service collections at Northeast Alabama Regional Medical Center.
In Search Of Insurance Savings, Consumers Can Get Unwittingly Wedged Into Narrow-Network Plans
Despite federal rules requiring plans to keep up-to-date directories, consumers may lack access to clear information about which health plans...