New & Notable
Physicians skeptical of insurer pledges to reform prior authorization: survey
Only 33% of physicians surveyed by the American Medical Association said they believed voluntary pledges made by insurers last year to reform prior authorization would result in meaningful difference.
— Healthcare Dive
With patient collections at 31%, is AI providers' new strategy?
Health systems must shift their revenue cycle strategy and AI investments to keep pace with a growing reliance on patient collections, which they currently fail to capture fully.
AMA, providers seek stricter enforcement of No Surprises Act
The AMA and nearly 100 other groups are backing legislation that would force payers to comply with IDR payment determination rules as providers continue to report nonpayment.
A tale of two health systems: the threat of hospital consolidation
A new analysis points to increased consolidation as a driver of healthcare affordability challenges, which could get worse as hospitals that temper prices face devastating cuts.
Sponsored Sites
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Risk Adjustment Compliance
RAAPID
RAAPID develops AI-powered risk adjustment solutions for healthcare payers, providers, and supporting organizations. The company's HITRUST-certified platform uses Neuro-Symbolic AI to identify chronic conditions, determine HCC codes, and provide explainable documentation for complete audit defense. Backed by M12 (Microsoft's venture fund), RAAPID serves organizations participating in Medicare Advantage, ACA, Medicare ACO, and Medicaid programs with both retrospective and prospective risk capture capabilities. Founded by healthcare technology veterans with over 20 years of experience, RAAPID is headquartered in Louisville, Kentucky.
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Revenue Cycle Management
Greenway Health
Improving healthcare through innovation is at the heart of Greenway Health’s work. We provide electronic health records (EHR), practice management, and revenue cycle management solutions that help practices in multiple specialties grow profitably, remain compliant, work more efficiently, and improve patient outcomes.
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Cybersecurity
Commvault + Microsoft
Together, Commvault and Microsoft are redefining cybersecurity and data resilience with a comprehensive, integrated platform, purpose-built to secure, defend, and recover data wherever it lives with true cloud simplicity, intelligence, and scale.
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.
View All Episodes
Latest News
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With patient collections at 31%, is AI providers' new strategy?
Health systems must shift their revenue cycle strategy and AI investments to keep pace with a growing reliance on patient collections, which they currently fail to capture fully.
-
AMA, providers seek stricter enforcement of No Surprises Act
The AMA and nearly 100 other groups are backing legislation that would force payers to comply with IDR payment determination rules as providers continue to report nonpayment.
-
A tale of two health systems: the threat of hospital consolidation
A new analysis points to increased consolidation as a driver of healthcare affordability challenges, which could get worse as hospitals that temper prices face devastating cuts.
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California hospitals sue Elevance over out-of-network penalty
The lawsuit seeks to block Elevance's expansion of its policy in California, which would penalize facilities with a 10% fee if care is delivered by an out-of-network physician.
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DOJ forms West Coast Strike Force to stop healthcare fraud
In the administration's latest healthcare fraud crackdown, it created a West Coast Strike Force to root out fraud, waste and abuse in Arizona, Nevada and Northern California.
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Skin substitute spending driven by patients, products, prices
A new analysis shows continued growth in Medicare's skin substitute spending, driven by higher prices, more patients and greater product use.
Features
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The U.S. finally bent the healthcare cost curve, one economist says
Health economist David Cutler's new analysis shows a deceleration in U.S. healthcare spending as technology advancements make care cheaper.
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How AI scribes are shifting coding intensity, reimbursement
The proliferation of AI scribes for clinical documentation has started a shift in coding intensity, raising concerns about reimbursement and affordability.
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Agentic AI evolution begins to pave way for autonomous revenue cycle
A fully automated revenue cycle in which staff work hand-in-hand with AI is looming, but success will require a mature AI strategy.
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How NGHS balances revenue cycle AI adoption, ROI
Northeast Georgia Health System is accelerating AI adoption, especially in revenue cycle management, but leaders have learned to balance speed of innovation with ongoing ROI.