Management & Administration

How Can AI Transform Value-Based Care Administration?
Management & Administration How Can AI Transform Value-Based Care Administration?

The healthcare landscape is undergoing a profound transformation with the advent of Value-Based Care (VBC), a model designed to prioritize quality, efficiency, and patient outcomes over the outdated fee-for-service framework that often rewarded volume over value. Despite its potential to

Health Insurers Struggle with Losses in Government Programs
Management & Administration Health Insurers Struggle with Losses in Government Programs

The health insurance industry finds itself in a precarious position as major players report staggering financial losses within government-funded programs such as Medicare Advantage (MA), Medicaid, and the Affordable Care Act (ACA) exchanges. Once considered stable revenue streams, these programs

Who Really Benefits from Health Care Policy Changes?
Management & Administration Who Really Benefits from Health Care Policy Changes?

Amid the heated debates in Congress over reopening the government and revising health care legislation, a cloud of confusion hangs over the public regarding the true impact of proposed changes in H.R. 1 and the extension of enhanced Advanced Premium Tax Credits (APTCs). Many Americans remain

Are Health Insurance Scams Targeting New Yorkers in 2026?
Management & Administration Are Health Insurance Scams Targeting New Yorkers in 2026?

As the calendar turns toward the 2026 open enrollment period for health insurance in New York, a disturbing trend is emerging that threatens the financial and physical well-being of countless residents, and it demands urgent attention. Starting November 1, the NY State of Health Marketplace

How Is Matic Revolutionizing Healthcare with AI Solutions?
Management & Administration How Is Matic Revolutionizing Healthcare with AI Solutions?

In an era where healthcare systems grapple with inefficiencies and fragmented data, a transformative force is emerging to address these persistent challenges through cutting-edge technology. Imagine a world where clinical documentation, medical coding, and revenue cycles are seamlessly connected,

Democrats Push to Block AI-Driven Medicare Care Denials
Management & Administration Democrats Push to Block AI-Driven Medicare Care Denials

In a striking move that underscores growing unease in the healthcare sector, a group of House Democrats has launched a legislative effort to halt a new Medicare prior authorization model set to roll out next year, driven by deep concerns over patient well-being. This initiative targets a system

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