payers
publication date
Revenue Cycle
HonorHealth Teams with OODA Health, BCBS of Arizona Blue Cross Blue Shield of Arizona members who are treated by HonorHealth will be able to use the OODAPay platform...
Revenue Cycle
MGMA: It's Time to Reduce the Prior Authorization BurdenIn responding to an ONC task force draft report about clinical integration and reducing administrative burden in healthcare, Medical Group...
Revenue Cycle
6 Action Items for Your Denials Management PlanKimberly Scaccia, vice president of revenue cycle at Mercyhealth, outlines a methodical, multistep action plan for creating a denials management...
Revenue Cycle
Consumers Want Price Transparency Info They Don't Know They Have Access ToIf consumers don't know healthcare pricing information is available and don't know how to access it, does it matter if...
Revenue Cycle
Humana Partnership Streamlines Prior Authorizations Across 12 StatesUsing the CohereNext platform's prior authorization capability grants authorizations across an entire episode of care, effectively pre-authorizing a patient's complete...
Revenue Cycle
Could Shared Accountability Make Denials Obsolete? Horizon BCBSNJ Leader Says, 'Absolutely'"This is not a classic relationship between a provider and a payer. In fact, what we're doing is blurring the...
Innovation
9 Strategic Insights Into Developing the Healthcare System of the FutureInnovation thought leaders formulate strategies related to payment, reimagining models of care, applying real-time data, and addressing social determinants of...
Revenue Cycle
3 Elements Needed for the Revenue Cycle of the FutureA roundtable panel details how automation, payer partnerships, and standardization are key to making meaningful change within the revenue cycle.
Revenue Cycle
Waystar's eSolutions Acquisition Will Let Providers Manage Commercial, Government Claims on Single PlatformHistorically, providers have had to leverage two different systems, one to handle commercial claims, and another to handle Medicare, according...
Revenue Cycle
High-Deductible Health Plan Switches Didn't Lead to More Heart RiskAlthough the "findings provide a measure of reassurance" about high-deductible health plans, the authors of a new study stopped short...
Revenue Cycle
High-Deductible Health Plans Disproportionately Hurting Black Cancer SurvivorsA new study finds that Black cancer survivors on high-deductible health plans face more cost-related barriers to care than white...
Revenue Cycle
Physicians: Prior Authorizations Lead to Patient Care DelaysSince payers won't enact agreed-upon prior authorization reforms on their own, legislation is needed, says the American Medical Association.