New & Notable
Insurers point to provider misuse of surprise billing arbitration
A new report from AHIP and BCBSA shows providers submitting high volumes of ineligible claims, as payers and providers continue to place blame for federal IDR hiccups.
R1 launches a revenue 'operating system' for end-to-end coverage
R1 announced the launch of the Phare Operating System, which utilizes AI agents to orchestrate automated revenue cycle management, spanning from patient access to denials management.
ACA enhanced tax credit fight exposes healthcare's funding crisis
Enhanced premium tax credits are at the center of the latest government shutdown, creating concerns for providers and exposing a history of patchwork solutions for a cracked system.
Provider pay caught in the middle during government shutdown
The ongoing government shutdown will impact Medicare reimbursement, particularly for telehealth services, putting revenue cycle teams in a tight spot.
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Huron
Change is constant in healthcare, and its speed is accelerating. Huron works with healthcare organizations every day to strengthen and innovate their businesses and build more resilient operations to thrive now and in the future.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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Insurers point to provider misuse of surprise billing arbitration
A new report from AHIP and BCBSA shows providers submitting high volumes of ineligible claims, as payers and providers continue to place blame for federal IDR hiccups.
-
R1 launches a revenue 'operating system' for end-to-end coverage
R1 announced the launch of the Phare Operating System, which utilizes AI agents to orchestrate automated revenue cycle management, spanning from patient access to denials management.
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Study examines surgical price tags, finds massive markups
A new study shows significant hospital pricing markups, with the high-cost hospitals for elective surgical care also experiencing more adverse care outcomes.
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CareCloud to acquire HFMA's MAP app for revenue cycle tracking
CareCloud's acquisition of HFMA's MAP App for revenue cycle tracking would infuse AI capabilities into the tool while extending its reach to hospitals, the organizations said.
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Healthcare providers to lose $32B if ACA tax credits expire
As enhanced premium tax credits for ACA marketplace health plans are set to expire, healthcare providers are slated to lose over $32B and incur $7.7B in uncompensated care costs.
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Claim denial rates aren't improving, but AI could help
Experian Health's latest "State of Claims" survey shows continued growth in claim denial rates as more providers face rates of 10% or more of claims, but growing enthusiasm for AI.
Features
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ACA enhanced tax credit fight exposes healthcare's funding crisis
Enhanced premium tax credits are at the center of the latest government shutdown, creating concerns for providers and exposing a history of patchwork solutions for a cracked system.
-
Provider pay caught in the middle during government shutdown
The ongoing government shutdown will impact Medicare reimbursement, particularly for telehealth services, putting revenue cycle teams in a tight spot.
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Athenahealth revamps revenue cycle management in the era of AI
Athenahealth is adding AI features to its practice and revenue cycle management capabilities, at no additional cost, as the health IT company leans toward becoming AI native.
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Innovation interrupted: How reimbursement is stalling health AI
The current reimbursement system wasn't made to pay for health AI, but that will need to change as healthcare providers rapidly adopt AI medical services to improve clinical outcomes.