Prior Authorization AI and the Future
Prior Authorization AI and the Future - The process of prior authorization can be time-consuming and complicated for healthcare providers.
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.
AI Practices of Healthcare Payers
AI Practices: Healthcare payers, such as insurance companies and government agencies, are increasingly turning to artificial intelligence (AI) to improve their operations and provide better services to their members.
Work From Home (WFH) Revolution
Over the last few years, there has been a rapid switch in organizations allowing and encouraging Work From Home (WFH) options. This switch has occurred at an unprecedented pace and much about this change on such a large scale is still unexplored. While BHM has always had a very strong background in data analytics and reporting, we took this opportunity to explore ethical and fair productivity metrics to allow for data-driven decision-making around our WFH practices.
Behavioral Health Linked to 70% Increase in Healthcare Spending
Many of your most challenging claims and cases likely present a behavioral health component. Due to the behavioral healthcare shortages described in this blog, BHM offers a reviewer network with the most sub-specialties. 6 of the top 10 largest health plans entrust BHM for peer reviews. CLICK HERE to learn more about how BHM helps your organization curb behavioral health costs.
Behavioral Healthcare Top Reason Members Seek Telehealth Treatment
Telehealth continues to grow rapidly in both availability and popularity for members with behavioral healthcare needs. The use of telehealth grew 624% from 2014 to 2018, according to a new study from FAIR Health.
Provider-to-Patient Telehealth Usage Up Nearly $1,400%
Private insurance claim lines for non-hospital based provider-to-patient telehealth spiked 1,393 percent from 2014-18, according to a recent Fair Health report.
Telemedicine Services Expanding
New Hampshire Gov. Chris Sununu signed a new bill into law that aims to increase Medicaid patients' access to telemedicine services, according to New Hampshire Public Radio.
Cancer Deaths Cost $94B in Lost Earnings
In 2015, cancer deaths cost the U.S. $94 billion in lost earnings, according to a study published in JAMA Oncology.
Humana and Epic Partner
Electronic health records provider Epic and health insurer Humana have teamed up to improve patient and provider communication as well as access to health information.