Payer Systems

Infirmary Health and UnitedHealthcare Settle Reimbursement Dispute
Management & Administration Infirmary Health and UnitedHealthcare Settle Reimbursement Dispute

The healthcare industry can often feel like the Wild West, with standoffs not uncommon. One such recent dispute saw Infirmary Health, Alabama's largest nonprofit health system, facing off against UnitedHealthcare, the United States' largest commercial health insurer. At the heart of this conflict

Rapid Growth in Healthcare's RCM Markets Spurs Tech Evolution
Management & Administration Rapid Growth in Healthcare's RCM Markets Spurs Tech Evolution

Revenue Cycle Management (RCM) is crucial in healthcare, serving as the financial backbone ensuring that clinical operations don't falter due to fiscal issues. Its growth trajectory is unmistakable, as RCM systems streamline billing, enhance efficient care delivery, and maintain compliance with

Is California Ready to Embrace Single-Payer Healthcare?
Management & Administration Is California Ready to Embrace Single-Payer Healthcare?

California stands at a crossroads with its healthcare future, as Assembly Bill 2200 seeks to revolutionize the state's healthcare system by adopting a single-payer model. Inspired by the Canadian healthcare system, this proposal carries with it the promise of a simplified, bureaucratic-lite

How Can Single-Payer Health Care Boost California Schools?
Management & Administration How Can Single-Payer Health Care Boost California Schools?

Bridging Health and Education The discussions on health policy rarely identify public education as a beneficiary, but California schools stand to gain immensely from the implementation of a single-payer health care system. Single-payer health care proposes a streamlined, universal coverage managed

Can the U.S. Shift to Single-Payer Health Financing?
Management & Administration Can the U.S. Shift to Single-Payer Health Financing?

The ongoing debate over reimagining the United States healthcare system gains momentum as discussions intensify with upcoming elections. A central question is whether the country can transition to a single-payer healthcare financing system—a model significantly divergent from the current, complex

Is Paying Ransom Inviting Repeat Cyberattacks on Healthcare?
Management & Administration Is Paying Ransom Inviting Repeat Cyberattacks on Healthcare?

The Alarming Trend of Multiple Ransomware Strikes Recently, Change Healthcare suffered another ransomware assault, intensifying concerns about the cycle of repeated attacks on entities that have previously relented to extortionists. This troubling trend is particularly alarming in healthcare, where

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