Insurance

Who Will Guide Interwell's Next Phase of Kidney Care?
Management & Administration Who Will Guide Interwell's Next Phase of Kidney Care?

In the rapidly evolving landscape of healthcare, the management of chronic kidney disease stands as a critical challenge, compelling a systemic shift towards value-based care models that prioritize patient outcomes and cost-efficiency over volume. Interwell Health, a leading national force in this

PLEXIS Guides Payers on Responsible AI Adoption
Management & Administration PLEXIS Guides Payers on Responsible AI Adoption

As the healthcare industry grapples with the transformative potential of artificial intelligence, a clear and pragmatic directive has emerged for payers navigating this new technological frontier. PLEXIS Healthcare Systems has put forth strategic guidance for health plans, third-party

AI for Healthcare Payers: Augment or Replace?
Management & Administration AI for Healthcare Payers: Augment or Replace?

The immense pressure on healthcare payer organizations to modernize has placed artificial intelligence at the center of a pivotal debate, forcing executives to confront a high-stakes question of strategy. As the market floods with promises of AI-driven transformation, many are tempted by the allure

What New Codes Are Inflating Your Hospital Bill?
Management & Administration What New Codes Are Inflating Your Hospital Bill?

The final amount on a medical bill can often feel disconnected from the services received, and in 2026, the gap between a routine procedure’s expected cost and its final price is widening due to subtle but significant changes in medical billing. The culprit is not necessarily a single, massive

What Are the Keys to Unlocking COE Value?
Management & Administration What Are the Keys to Unlocking COE Value?

As the landscape of advanced medical therapies continues to expand with groundbreaking but costly treatments, many employers and payers have turned to Centers of Excellence (COEs) to manage complex health conditions. While these specialized facilities promise superior care, simply establishing a

Texas Law Fails to Curb High Health Care Costs
Management & Administration Texas Law Fails to Curb High Health Care Costs

Texans are currently navigating a severe health care affordability crisis that is placing an unsustainable financial strain on families and employers, driven not by natural market forces but by the strategic consolidation of hospital systems across the state. As these large health networks merge

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