Payment Accuracy

Texas hospitals sue Independence Blue Cross over denied claims
Five HCA-affiliated hospitals want over $345,000 in what they say Independence Blue Cross owes them from inappropriate denials ...
Medical debt impacts 1 in 3 insured adults
Health insurance coverage doesn't protect everyone from incurring medical debt, with most debt totaling $2,000 or more.
R1 adds AI utilization management for denial prevention
The company's new Phare Utilization Management tool layers payer-specific intelligence onto a clinical AI engine to identify ...

Investor suit says UnitedHealth ignored governance, cybersecurity gaps for years
The laundry list of allegations include claims that UnitedHealth deceived investors, artificially inflated share prices and ...
Cyberattack forces temporary closure of 83 AnMed facilities
Nonprofit health system AnMed's medical group and imaging offices will be closed on July 27 as it responds to a cyberattack; ...
Hackers steal customer data from major hospital software vendor
The breach is another reminder of how vulnerable the healthcare industry is to supply-chain attacks.

Broadband deserts hinder telehealth access, especially in rural areas
Most Americans who could benefit from telehealth services to improve their access to healthcare live in rural areas with limited ...
Zocdoc opens appointment scheduling architecture to health partners
Zocdoc said payers, providers, AI chatbots and online review sites can use its appointment scheduling architecture to embed ...
CMS to add more chronic conditions to ACCESS model in 2027
The agency will introduce four new clinical tracks next year, increasing the number of conditions covered by the outcomes-based ...

Inside Hackensack Meridian's first-in-nation Joint Commission AI certification
Following Hackensack Meridian Health achieving Joint Commission's inaugural certification for AI use, its chief digital and ...
Shadow AI prevalent, as 72% of health orgs deploy without IT approval
Security gaps, including shadow AI deployments, may hamper the use of agentic AI in healthcare despite leaders' confidence in the...
High healthcare costs force chronically ill patients to skip care, meds
Around half of people with one or more chronic illnesses have skipped or delayed care in the past year, and for a third of them, ...