Making Prior Authorization Easier
Learn how insurance companies can streamline the process with AI, automatic approvals, and better communication to improve patient care.
Modern Data-Driven Strategies
The landscape of data-driven management in healthcare has transformed in ways that were both anticipated and unforeseen. Revisiting the predictions from that article provides a unique opportunity to evaluate what has changed, where expectations aligned with reality, and what new challenges have emerged.
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.
Proven Process for Payers To Maximize Efficiencies and Minimize Efforts
Elevate your payer operations with BHM's latest Insight. Unveil a proven process to maximize efficiency & minimize effort. Perfect your strategy and lead the way in healthcare management.
Effective Healthcare Strategies Driving Better Health Outcomes
Effective healthcare strategies play a vital role in driving better health outcomes for patients and populations. This blog post discusses examples of effective healthcare strategies and provides tips for developing and implementing them.
Intelligent Document Processing for Payer Cost Savings
Intelligent Document Processing (IDP) is a technology that uses artificial intelligence (AI) and machine learning to automatically extract and process data from documents such as claims forms, invoices, and medical records. This eliminates the need for manual data entry and speeds up the processing of claims and other documents.
Health System Best Practices for Improving Performance
Health System Best Practices: Profitable health systems tend to exhibit certain behaviors and policies that distinguish them from less profitable ones. Here are some of the most common.
Discharge Planning: The Importance of Starting Early
Discharge planning is the development of a personalized plan to ensure the smooth transition of a patient from a health organization such as a hospital to wherever the patient is going next such as a home, residential care, palliative care or somewhere else.
Lower Healthcare Costs by Paying Patients to Shop
Paying patients to shift to lower-price providers could be a successful option for helping employers and insurers lower healthcare costs, a new study in Health Affairs suggests.
Americans Believe Healthcare is in ‘State of Crisis’
Seven in 10 Americans identified the U.S. healthcare system as being "in a state of crisis" or having "major problems" during a recent Gallup poll.