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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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 (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: 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 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.
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.
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.
In the upcoming year, persistent uncertain and risk is projected for the US healthcare organizations. Revenue cycle issues such as denials management and patient access are among the risk areas for healthcare organizations next year, according to an analysis from Crowe, a public accounting, consulting and technology firm.
A new report from the New England Journal of Medicine-Catalysts about trends in payer-provider integration suggests that the industry is warming up to single-payer — with 61 percent of hospital leaders saying single-payer would boost the industry’s efforts to lower costs and provide better care.