payers

St. Christopher's Hospital for Children CFO Edward Bleacher explains how communication, payer strategy, market vigilance, and disciplined capital management define...

Stephen Rinaldi, Chief Revenue Officer at UNC Health, argues that revenue cycle leaders should take advantage of AI- enabled analytics...

The American Medical Association?s new minimum standards for rural-focused alternative payment models aim to counteract widespread financial losses and service...

"We're trying to create ecosystem solutions and not point solutions," says Longitude Health CEO Vishal Agrawal.

Several payers are accusing providers of driving higher healthcare costs through aggressive coding practices.

Almost 4 in 10 disputes submitted to the IDR process are deemed ineligible by insurers.

Insurers report that nearly 40% of payment disputes filed under the No Surprises Act's independent dispute resolution (IDR) process are...

The integrated health system has a grand vision to use conversational AI as an 'added member of the care team'...

The government shutdown is unsettling hospital-at-home programs, threatening revenue streams and pushing CFOs to rethink cash reserves, home-care strategies, payer...

Data is power in the provider-payer "AI arms race," says Christina Slemp of UNC Health, who explains how providers can...

The arbitration process established by the No Surprises Act has generated $5 billion in costs and significant operational challenges, yet...

Failures have resulted in the erroneous loss of health coverage and other vital safety-net benefits for low-income people.