Financial/Revenue Cycle Management
Providers in six states face "a steep learning curve" managing new financial risks, processes and training burdens under the mandatory Medicare prior authorization and claims review pilot starting in 2026, says Jeff Ladner, chief product officer at Onspring.
By deploying Epic's Coverage Finder and Digital Insurance Card Exchange for Medicare Advantage members, the health plan seeks to streamline and secure verification and check-in.
Megan Schmidt, CEO at Madaket Health, says the work of updating provider directories is the responsibility of payers – but much of that work is still being done manually, with mistakes incurring heavy penalties.
Only a small minority of hospitals and health systems say they're prepared for an AI audit.
The two SymphonyAI companies are combining to launch GW RhythmX, an artificial intelligence-driven personalized care platform that unites clinical, financial, payer and social data.
Lisa Suennen, managing partner at the American Heart Association's VC arm, joins with MDisrupt CEO Ruby Gadelrab to discuss their work to built out technology that can connect innovators focused on brain and cardiac health.
Companies this past month announced many new products and services that use artificial intelligence to automate complex processes, secure data and improve care coordination and interoperability workflows.
"Why are we using this technology," asks Dr. Everett Weiss, medical director for health informatics at Rochester Regional Health. "How is it helping everyone work more efficiently, at the top of their license? And how is it good for patients?"
In the second episode of this three-part series, the New Jersey health system's CIO and its president of advanced care operations discuss how they grew and scaled their acute care at home program and realized clinical, financial and operational ROI.
The company will use the funds to grow its UK presence, expand its workforce, advance research and patient experience efforts, and enhance its data-driven care platform.