Payer Systems

Are Single-Payer Systems Failing Cancer Patients With Delays and Limits?
Management & Administration Are Single-Payer Systems Failing Cancer Patients With Delays and Limits?

The ongoing debate over the effectiveness of single-payer healthcare systems has significant implications for cancer patients, who uniquely depend on timely and advanced medical interventions. As this article delves into the critical challenges faced under such systems, it becomes apparent that

How Will Datavant's Clinical Insights Platform Transform VBC Care?
Management & Administration How Will Datavant's Clinical Insights Platform Transform VBC Care?

Datavant has made significant strides in enhancing data retrieval capabilities within the healthcare sector, introducing the Clinical Insights Platform to improve operations, efficiency, and patient care for health plans and risk-bearing providers engaged in value-based care (VBC) agreements. These

Why Is Medicare Advantage Overpayment and Fraud So Hard to Stop?
Management & Administration Why Is Medicare Advantage Overpayment and Fraud So Hard to Stop?

The Medicare Advantage program, designed to provide seniors with an alternative to traditional Medicare, has faced persistent issues of overpayments and fraud for over a decade. Despite the numerous efforts by the Centers for Medicare & Medicaid Services (CMS) to address and rectify these areas,

Can Collaboration Transform Healthcare Delivery with Longitude Health?
Management & Administration Can Collaboration Transform Healthcare Delivery with Longitude Health?

Healthcare in today's rapidly evolving environment faces numerous challenges, from rising costs to the need for more personalized, effective treatments. The launch of Longitude Health, a collaborative initiative by four major nonprofit health systems, aims to address these issues head-on through a

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,

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

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