payers
publication date
CFO
What's Cooking at HFMA This Year
As the HFMA annual conference kicks off in Denver, CFOs are preparing to tackle urgent financial, regulatory, and ethical challenges.
Payer
How Providers Can Stop Losing Money on Their Medicare Advantage Contracts
Dr. Sachin Jain and Mike Plumb detail what providers are missing and how collaborative health plans can help.
Revenue Cycle
Will CMS' Aggressive Approach to MA Audits Affect Provider Revenue Cycles?
A recent CMS announcement signals a more aggressive approach to auditing Medicare Advantage plans. Revenue cycle leaders should be prepared...
CFO
CFO In the Know: Price Transparency Update
Hospital price transparency compliance enforcement is set to rise.
Payer
Employer Health Plan Performance Gap Expands, Says J.D. Power
The good get better while the bad get worse as overall member satisfaction declines slightly.
Payer
Too Big to Fail, Too Broken to Fix?
UnitedHealth Group?s very bad year, what it means for healthcare reform, and 3 predictors happening right now.
CFO
Denied and Defiant: CFOs Must Muscle Up as Payers Get Tougher on Claims
Payer challenges are growing. Here's what CFOs are saying, and what they can do.
Payer
How Payers Can Realize Hard ROI From Hyperpersonalization
A new report details how AI plus behavioral science bridges payer-member divides and helps capture lost ROI.
Revenue Cycle
Communication Strategies Help to Overcome Prior Authorization Tech Hurdles
Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those...
CFO
Financial Leaders Gather at the CFO Exchange to Plot Their Future
CFOs are meeting in Florida this week at HealthLeaders? annual event to discuss the top challenges facing health systems.
CEO
Providence Pauses Nonclinical Hiring as CEO Expresses Concern for 'Perfect Storm'
Erik Wexler, the health system's new leader, told employees that steps are being taken to weather financial turmoil.