Insurance

How Will Politics Reshape Your Healthcare?
Clinical & Pharma How Will Politics Reshape Your Healthcare?

With the American healthcare landscape in a constant state of flux, navigating the intersection of policy, politics, and personal well-being is more critical than ever. From tense budget negotiations in Washington to the real-world impact of insurance design on patient survival, the decisions made

Can AI End the Billion-Dollar Healthcare Detour?
Management & Administration Can AI End the Billion-Dollar Healthcare Detour?

The American healthcare system is confronting a profound and costly paradox where over a trillion dollars are spent annually on unnecessary services, even as millions of patients find themselves unable to access the appropriate care when they need it most. This phenomenon, often termed the

Modern Tech Unlocks Pharmacy Benefit Efficiency
Management & Administration Modern Tech Unlocks Pharmacy Benefit Efficiency

The escalating complexity and cost of pharmacy benefits have placed unprecedented pressure on health plans, forcing many to operate within the rigid confines of outdated, legacy systems that hinder both fiscal responsibility and member satisfaction. In this highly competitive landscape, the pursuit

What Is Responsible AI for Healthcare Payers?
Management & Administration What Is Responsible AI for Healthcare Payers?

Amidst a technological gold rush driven by generative artificial intelligence, healthcare payers are navigating a complex landscape where the pressure to innovate confronts the non-negotiable demand for absolute accuracy and compliance. Unlike other industries that can afford to experiment more

Tenet Regains Full Control of Conifer in $2.7B Deal
Management & Administration Tenet Regains Full Control of Conifer in $2.7B Deal

In a dramatic reversal of its previous strategic direction, Tenet Health has executed a multi-billion-dollar transaction to acquire the remaining stake in its revenue cycle management subsidiary, Conifer Health Solutions, from CommonSpirit Health. This decisive move solidifies Tenet’s commitment to

How Much Do Health Costs Erode Retirement Income?
Management & Administration How Much Do Health Costs Erode Retirement Income?

Retirement planning often focuses on accumulating a substantial nest egg, but a critical and frequently underestimated factor can unravel even the most carefully constructed financial strategies: the relentless rise of healthcare costs. While gross income and Social Security benefits provide a

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