For decades, health insurance payors have relied on outdated legacy workflows, antiquated provider data management systems, manual data entry and internal departmental structures. All of this disjointed approach results in errors in provider data for payors. These challenges can occur at many points during the provider’s tenure with a payor including during the onboarding process; credentialing and re-credentialing; contracting phase or even updates such as address changes or patient panel
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Health IT | News, Analysis, Insights - HIT Consultant
The RCM Arms Race: How AI is Reshaping Healthcare Finance in 2025
As healthcare providers head into 2025, a technological arms race is reshaping revenue cycle management (RCM), with artificial intelligence (AI) emerging as the decisive factor between financial success and struggle. With approximately 46% of hospitals and health systems already utilizing AI in their RCM operations, the industry stands at a critical juncture where matching payer sophistication has become imperative for survival. This transformation represents a fundamental shift in how
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NeuroFlow Acquires Intermountain Health’s Behavioral Health Analytics Model
What You Should Know:
- NeuroFlow, a behavioral health technology and analytics company, has acquired Intermountain Health's proprietary behavioral health analytics model. Financial details of the acquisition were not disclosed.
- The strategic acquisition significantly enhances NeuroFlow's capabilities, enabling the company to provide more healthcare organizations with advanced risk assessment tools and improve patient outcomes on a national scale.
Enhancing
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Walgreens, Visory Health Partner to Expand Access to Affordable Prescriptions
What You Should Know:
- Visory Health, a prescription discount platform focused on improving healthcare affordability, announced today a new partnership with Walgreens.
- The collaboration expands Visory Health's network of featured pharmacies, providing consumers with even greater savings on their prescription medications.
Simplifying Prescription Savings
Visory Health's platform stands out for its commitment to simplicity and transparency. Unlike other prescription discount
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The Role of Technology in Shaping the Future of Medicine
In recent years, healthcare technology has been rapidly evolving, transforming the way healthcare professionals diagnose, treat, and manage patient care. Innovations in this space have significantly improved the quality of healthcare, making it more efficient, accessible, and personalized. From artificial intelligence (AI) and machine learning to telemedicine and wearable devices, healthcare technology is revolutionizing the medical field, providing new tools for doctors, nurses, and patients
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Model N Appoints Bret Connor as CEO to Drive Next Phase of Growth
What You Should Know:
- Model N, a leading provider of revenue optimization and compliance solutions for life sciences and high-tech companies, announced the appointment of Bret Connor as Chief Executive Officer.
- Connor brings a wealth of experience in driving customer success and operational excellence, positioning Model N for continued growth and market leadership.
Bret Connor Bio/Background
Connor joins Model N from athenahealth, where he served as Chief
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symplr Appoints Susan Grant as Chief Clinical Officer
What You Should Know:
- Symplr, a provider of enterprise healthcare operations software, announced the appointment of Dr. Susan Grant, DNP, RN, NEA-BC, FAAN as Chief Clinical Officer.
- With over 30 years of experience in clinical leadership and healthcare innovation, Dr. Grant will play a pivotal role in advancing symplr's mission to streamline administrative tasks, prioritize clinician needs, and ultimately improve patient outcomes.
Dr. Grant Bio/Background
Dr. Grant brings
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Meditelecare to Pay Over $358k to Settle Medicare Fraud Allegations in Kentucky
What You Should Know:
- CompreCare Health LLC and its affiliates, operating as Meditelecare LLC, have agreed to pay $358,514 to resolve allegations of fraudulent billing practices involving telehealth psychotherapy services. The settlement was announced today by U.S. Attorney Michael A. Bennett of the Western District of Kentucky.
- The U.S. government alleged that between January 2017 and November 2022, Meditelecare submitted claims to Medicare for telehealth psychotherapy sessions
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Why the CFPB Medical Debt Credit Reporting Ban Could Hurt More Than It Helps
The Consumer Financial Protection Bureau (CFPB) has announced that it wants to ban the inclusion of medical debt data in credit reports to lessen the negative impact of medical debt on credit scores and improve financial outcomes for consumers.
Though well-intentioned, the CFPB's medical debt credit reporting ban would severely inhibit the activities of medical collection companies who partner with healthcare providers to collect outstanding medical accounts. It also could have
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Empowering the Aging Population with Tech-Driven Care in 2025
By 2030, one in six people will be 60 years old or over, increasing the demand for care and intensifying the burden on an already strained healthcare system. These pressures require healthcare leaders to identify more sustainable solutions that deliver optimal care to the growing senior population.
An AARP report found that technology use amongst older adults has significantly increased since the pandemic. This population’s adoption of digital solutions opens the door for more tools to reduce
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