Author: Simon Barr

The doctor holds the patient’s. hand Healthcare and medical concept.

Is Transparency Key to Gaining Trust? 5 Actionable Practices

Transparency is not just a regulatory requirement for healthcare payers; it’s a key factor in fostering trust, improving relationships, and driving collaboration. By focusing on clear communication, data integrity, financial openness, and regulatory compliance, payers can create a more reliable and cooperative environment with providers.

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claims management, AI, Artificial Intelligence

The Future of AI in Claims Management: What’s Next?

Traditional methods of claims processing are time-consuming, error-prone, and costly. Artificial intelligence (AI) has emerged as a transformative technology, reshaping how medical claims are processed and setting new standards for efficiency, accuracy, and cost-effectiveness.

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utilization management, Data quality, NCQA Accreditation Consulting, Case Management Utilization Review, Healthcare Consulting Services

Monitoring Data Quality and Availability in an AI Environment

Part 8: AI Data Quality and Availability: In the rapidly evolving landscape of healthcare AI, the adage “garbage in, garbage out” has never been more pertinent. For C-level executives and decision-makers in healthcare organizations, ensuring the quality and availability of data is crucial for the success of AI initiatives.

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