payers

Using the CohereNext platform's prior authorization capability grants authorizations across an entire episode of care, effectively pre-authorizing a patient's complete...

"This is not a classic relationship between a provider and a payer. In fact, what we're doing is blurring the...

Innovation thought leaders formulate strategies related to payment, reimagining models of care, applying real-time data, and addressing social determinants of...

A roundtable panel details how automation, payer partnerships, and standardization are key to making meaningful change within the revenue cycle.

Historically, providers have had to leverage two different systems, one to handle commercial claims, and another to handle Medicare, according...

Although the "findings provide a measure of reassurance" about high-deductible health plans, the authors of a new study stopped short...

A new study finds that Black cancer survivors on high-deductible health plans face more cost-related barriers to care than white...

Since payers won't enact agreed-upon prior authorization reforms on their own, legislation is needed, says the American Medical Association.

TeamHealth, a medical staffing firm owned by private-equity giant Blackstone, charges multiples more than the cost of ER care. All...

The order aims to prevent surprise bills for lab fees related to medically necessary diagnostic testing for COVID-19 and is...

Skyrocketing coverage losses, unemployment fears, and payers reimbursing a bigger chunk of COVID-19 claims are just three ways that the...

Organizations need a "single source of truth" for getting, vetting, and disseminating updates, rather allowing disparate groups of people to...