payers
publication date
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.
Revenue Cycle
Infographic: MA Enrollment in 3 Charts
Growth in Medicare Advantage enrollment has slowed and plans are performing more poorly in quality ratings than in other recent...
Payer
Medicare Advantage: Why Members and Plans Paid More
Cost shares have as much as doubled as plans get a payment rate hike.
Revenue Cycle
Congress Considers Legislation to Restrict Prior Authorizations
A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior...
Revenue Cycle
ED Revenues Are Falling. Can Hospitals Reverse This Trend?
A new RAND report finds that reimbursement for Emergency Department services is declining, and emergency care could be at risk...
CEO
Nonprofit Hospital Margins Improving, but Threatened by Potential Medicaid Cuts
New analysis shows how finances for hospitals and health systems with early fiscal year ends are trending.
CFO
The Winning Edge for Cost Containment
"Proactive not reactive" cost containment strategies are vital for finance executives.
Payer
5 Strategies to Stretch Employer Mental Health Resources
NAMI Chief Innovation Officer Darcy Gruttadaro shares insights for employers based on her organization's latest survey data.