Healthcare providers face staffing shortages, increasing regulatory requirements, and pressure to reduce costs while delivering effective care. Compounding provider problems are payor policy, behavior changes and ongoing fee schedule cuts that compress revenue, as well as mounting denials and additional documentation requests from payors.
Coding, claim processing, and the collective revenue cycle management (RCM) tasks required to ensure appropriate reimbursement for billable service are all
Read More
Health IT | News, Analysis, Insights - HIT Consultant
AI Holds Promise for Improving Patient Experience, Survey Finds
What You Should Know:
- A new survey conducted by Talkdesk has revealed the growing optimism among consumers about the potential of artificial intelligence (AI) to improve the healthcare experience.
- While AI is still in its early stages of adoption in healthcare, patients are hopeful that it can streamline processes, reduce administrative burdens, and improve access to care.
Patients embrace artificial intelligence for administrative tasks, sensitive health queries, and
Read More
5 Ways AI Streamlines Prior Authorization Process for Providers & Patients
The prior authorization process, integral for confirming the necessity and insurance coverage of medical treatments, has historically been an obstacle in healthcare. In its current state, it has the potential to cause considerable delays and financial burdens for patients and healthcare providers - and the inefficiencies of this process are evident, as approximately 90% of providers report care delays due to this process (AMA), with a significant percentage indicating that some delays even lead
Read More
Curative Expands Health Plan to Georgia with $0 Copay, $0 Deductible
What You Should Know:
- Curative Insurance Company, a healthcare services innovator, is pleased to announce the expansion of its revolutionary health plan to Georgia.
- This marks a significant step forward as Curative brings its $0 copay, $0 deductible solution to businesses headquartered in the Peach State.
Prioritizing Affordability and Well-being
Curative's health plan is designed to remove barriers to care and prioritize member well-being. It achieves this
Read More
CommonWell Health Alliance Launches New TEFCA-Enabled Platform
What You Should Know:
- CommonWell Health Alliance, a healthcare interoperability organization, has announced significant advancements in its platform and membership.
- The new platform, developed in collaboration with ELLKAY, a healthcare data interoperability expert, is designed to facilitate smoother and more reliable data exchange among healthcare providers.
Key Highlights:
New Members: Athenahealth, ModuleMD, and Solace Health have joined CommonWell's platform and
Read More
Penalizing Hospitals Won’t Stop Ransomware: Why Collaboration, Not Fines, is Key to Healthcare Cybersecurity
The recent $50 million initiative announced by the Advanced Research Projects Agency for Health (ARPA-H) can’t hurt in the ongoing battle against ransomware in the healthcare sector.
This investment is aimed at strengthening the cybersecurity defenses of hospitals nationwide, protecting sensitive patient data, and enhancing the resilience of healthcare systems against cyber threats. However, I must emphasize that while $50 million is a step in the right direction, it is merely a drop in
Read More
The CMS Final Rule’s Impact on Healthcare Communication
As healthcare continues its digital transformation, ensuring clear, accessible communication with patients remains crucial. This is especially important for a diverse population with varying language needs and accessibility requirements. The recent Centers for Medicare & Medicaid Services (CMS) Final Rule reflects this commitment to inclusivity by establishing stricter guidelines for Medicare Advantage and Part D payers regarding patient communication accessibility and language
Read More
PatientPay and ClearGage Merge to Improve Patient Payment Experience
What You Should Know:
- PatientPay, the leading patient billing and payments partner for acute, ambulatory and specialty care, and ClearGage, a leading provider of healthcare estimate and payment solutions, today announced the close of their merger to deliver the industry-leading digital billing and payment platform for medical groups, specialty practices and community hospitals as PatientPay.
- This collaboration aims to set a new standard in payment technology and patient convenience
Read More
Memorial Hermann Health Expands On-Demand Cancer Care
What You Should Know:
- Reimagine Care the nation’s leading provider of on-demand cancer care, and Memorial Hermann Health System one of the largest not-for-profit health systems in Texas, are excited to announce a multi-year expansion of their partnership.
- This expansion follows a successful first phase that demonstrated enhanced patient satisfaction, strong clinical outcomes and improved well-being for physicians and nurses.
Enhancing Cancer Care: Reimagine Care and Memorial
Read More
The Importance of Accurate Patient Matching for AI Projects
Famous artificial intelligence (AI) errors such as a Google search recommendation to put glue on a pizza to keep the cheese from falling off may cause a smile. However, when AI is mentioned in conjunction with healthcare, the stakes become serious — quickly since ‘hallucinations’ are not an option in healthcare!
But make no mistake: AI is infiltrating healthcare, from both clinical and operational angles. Estimates show the global AI healthcare market growing by 1,600% during the decade, from
Read More
