Payer Systems

Blueprint for AI: DiMe, Google, and Mayo Clinic's Healthcare Playbook
Management & Administration Blueprint for AI: DiMe, Google, and Mayo Clinic's Healthcare Playbook

In the rapidly evolving landscape of healthcare, artificial intelligence (AI) stands out as a transformative force. Despite its potential, the effective implementation of AI remains a challenge for many healthcare systems. To address these challenges, the Digital Medicine Society (DiMe), Google,

October 9, 2024
Survey Reveals Costly Failures in Healthcare IT, Growing Financial Strain
Management & Administration Survey Reveals Costly Failures in Healthcare IT, Growing Financial Strain

An eye-opening survey by Black Book Market Research has exposed the increasing financial burdens that inefficient healthcare IT systems place on the industry. Gathering insights from 907 healthcare technology professionals, the study highlights technologies that not only fail to deliver expected

October 2, 2024
States Miss Key Opportunities in Medicaid Maternal Health Coverage
Management & Administration States Miss Key Opportunities in Medicaid Maternal Health Coverage

Recently, a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has highlighted missed opportunities by states to improve maternal health access through Medicaid managed care organizations (MCOs). The report points out significant gaps in insurance

October 2, 2024
Vermont Pursues Comprehensive Healthcare Reforms Amid Financial Crisis
Management & Administration Vermont Pursues Comprehensive Healthcare Reforms Amid Financial Crisis

The state of Vermont is navigating a profound healthcare crisis that has necessitated comprehensive reform efforts aimed at revitalizing its healthcare system. Spearheaded by the Green Mountain Care Board (GMCB), these efforts are driven by a critical need to achieve financial sustainability,

September 24, 2024
Can AI and Outsourcing Solve Revenue Cycle Woes in Healthcare?
Management & Administration Can AI and Outsourcing Solve Revenue Cycle Woes in Healthcare?

In today's rapidly evolving healthcare landscape, revenue cycle management (RCM) remains a critical challenge for health systems. With payer complexities, staffing shortages, and cybersecurity concerns on the rise, many healthcare executives are reevaluating their strategies. A recent survey

September 12, 2024
How Are AI and Automation Transforming Healthcare Revenue Cycles?
Management & Administration How Are AI and Automation Transforming Healthcare Revenue Cycles?

Healthcare revenue cycle management has always been a complex and multifaceted process. With evolving payer requirements, increasing denial rates, and significant workforce shortages, the need for innovative and efficient solutions has never been more urgent. Artificial Intelligence (AI) and

September 10, 2024
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