payers
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Clinical Care
New Kindred Healthcare CMO Wants to Bridge the Payer-Provider Gap
The new chief medical officer at Kindred Healthcare, with a background in emergency medicine and health plan management, is focused...
Finance
Navigating 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...
Finance
Why Patient Billing Woes are Clinicians' Problem, Too
Clinicians and patients say medicals bills are a 'distraction' from patient care.
Clinical Care
Patient Experience, Care Quality Linked to Market Consolidation of Insurers and Hospitals
Insurer and hospital consolidation patterns impact the quality of medical services.
Finance
Don't Let These 6 Barriers Stop Your Revenue Cycle Success
Many of the obstacles in revenue cycle are within healthcare leaders' power to dismantle.
Clinical Care
Behavioral Health Needs Spike for Children and Young Adults. How Providers Can Help
A new analysis of private healthcare claim records finds behavioral health disorders spiking among young people. Find out what one...
Hospitals are Ready to Assume More Risk
A survey shows most providers believe they have the capacity to assume more risk and will do so within the...
Finance
Why the Epic-Humana Collaboration is a Big Deal for the Revenue Cycle
The partnership could reduce administrative burden, expedite payments, and lower cost to collect for insurance balances.
Finance
Manual Contract Management Costs Providers $157B Annually
A survey of CFOs found that the shift to value-based care modeling is fueling demand for comprehensive contract management tools.
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...
Finance
Robin Hood To Rescue Of Rural Hospitals? New Math Promised On Medicare Payments
A federal proposal targets a long-standing and contentious regulation known in Washington simply as the 'wage index.'
Churches Wipe Out Millions In Medical Debt For Others
RIP Medical Debt, a nonprofit organization based in Rye, N.Y., that arranges medical debt payoffs, reports a recent surge in...