Payer Systems

Medical Billing Solutions Market Trends for 2025-2035
Management & Administration Medical Billing Solutions Market Trends for 2025-2035

The landscape of healthcare is undergoing a profound shift as financial and regulatory pressures mount, positioning the medical billing solutions market for remarkable evolution over the next decade from 2025 to 2035. This critical sector, pivotal to the financial health of hospitals and clinics

How Is Kaiser Permanente Boosting Revenue Amid Challenges?
Management & Administration How Is Kaiser Permanente Boosting Revenue Amid Challenges?

In the ever-evolving landscape of healthcare, where financial stability often collides with systemic hurdles, Kaiser Permanente stands out with a remarkable performance that has caught the attention of industry watchers. Amid rising costs, policy shifts, and changing patient needs, this healthcare

Medicaid Cuts Threaten Healthcare and Investor Portfolios
Management & Administration Medicaid Cuts Threaten Healthcare and Investor Portfolios

The passage of the One Big Beautiful Bill Act (OBBB Act) on July 4 of this year has unleashed a seismic shift in the U.S. healthcare landscape, promising federal savings of $326 billion over the next decade while introducing severe Medicaid work requirements that could reshape the system. This

How Is Prior Authorization Evolving in Medicaid Programs?
Management & Administration How Is Prior Authorization Evolving in Medicaid Programs?

In the complex landscape of healthcare access, prior authorization (PA) within Medicaid programs stands as a critical yet contentious mechanism, often blamed for delaying essential care for millions of enrollees. A recent analysis by leading health policy organizations sheds light on the evolving

Highmark Health and Abridge Revolutionize AI in Healthcare
Management & Administration Highmark Health and Abridge Revolutionize AI in Healthcare

Imagine a healthcare system where administrative burdens no longer delay critical patient care, and doctors can focus entirely on their patients rather than paperwork, transforming the way medical services are delivered. This vision is becoming a reality through a groundbreaking partnership between

Tango and AmeriHealth Caritas Partner for Better Home Care
Management & Administration Tango and AmeriHealth Caritas Partner for Better Home Care

In a healthcare landscape where seamless transitions from hospital to home remain a persistent challenge, a new collaboration between Phoenix-based provider of post-acute care benefit enablement services, Tango, and a national leader in Medicaid managed care, AmeriHealth Caritas, based in Newtown

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