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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.
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.
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.
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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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.
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Latest News
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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.
-
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.
-
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.
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KLAS ranks key end-to-end RCM outsourcing vendors
Healthcare organizations partnering with end-to-end RCM outsourcing vendors provided their take on performance across key metrics, including denials rate and cash collections.
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Medicaid disenrollments to reduce hospital revenue by $25B
Large-scale Medicaid disenrollments under President Trump's new spending law would reduce hospital revenue by $1 million to $4 million in a single year, according to new analysis.
Features
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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.
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Trailblazers: Using FHIR to automate prior authorizations
MultiCare Connected Care and Regence have sparked a new, electronic way of processing prior authorizations, and the organizations are now looking to ignite the flame to scale their success.
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How ACOs continue winning streak despite program headwinds
ACOs in the Medicare Shared Savings Program outdid themselves again, saving a record $6.5B in the 2024 performance year and truly demonstrating the value of the ACO model.
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Doing more with less: The state of physician reimbursement
New physician performance data shows increases in net patient revenue and provider productivity while reimbursement stays flat, meaning groups are doing more with fewer resources.