Imagine a physician and a patient sitting quietly together in an examination room. The physician's eyes are focused on a computer screen as she speaks in brief sentences about elevated A1C levels and the challenges of managing blood sugar through lifestyle changes and medication. The patient nods along silently and anxiously while holding an incomprehensible sheet of lab results and struggling to process her Type 2 diabetes diagnosis.
The entire interaction lasts five minutes. The physician,
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Health IT & Digital Health-Opinion | Op-Eds | Guest Columns | Analysis, Insights - HIT Consultant
Beyond Chargemaster Rates: Rethinking Revenue Generation in Healthcare
In the ever-evolving landscape of healthcare, one constant remains: the need for financial stability and growth. Healthcare providers, facing rising operational costs, regulatory changes and increased competition, must evolve their financial strategies to ensure long-term sustainability.
Historically, healthcare providers have relied heavily on chargemaster rates—the set list prices for medical services—as a primary method for revenue generation. However, as the industry faces increasing
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ATOMIC-Meso Trial: A New Take Against Pleural Mesothelioma
Pleural mesothelioma is a type of an aggressive cancer that develops in the tissue that surrounds the lung cavity. It is known to be primarily caused by asbestos exposure. Asbestos was largely used as a material in products revolving construction, automobile, and insulation. It is apparently still used in the said products today in buildings and houses in the U.S. The clear disparity between its latency period, which generally takes decades, compared to its fatal ramifications and little chance
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3 Key Principles to Ensuring Ethical AI Use in Healthcare
The healthcare industry is undergoing a profound transformation, not only in the tools used, but also in how patient care is approached. As the shift toward a value-based care model continues, aligning operations around improving patient outcomes and managing costs effectively is essential. Artificial intelligence (AI) is playing a key role in advancing this transition, helping healthcare organizations deliver better outcomes and reduce costs.
However, despite its promise, the adoption
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Missed Appointments: A Hidden Cost for Physicians and Patients
Physicians and patients both struggle with the healthcare system’s many idiosyncrasies, albeit in different ways. On the caregiver side, missed appointments are estimated to cost the average solo physician $150,000 annually. Moreover, they can have a negative impact on patient relationships and retention, making for a poor (and pricey) experience for all involved. For patients, missed appointments have a trickle-down effect that not only slows the delivery rate of what may be critical and
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5 Healthcare AI Trends in 2025: Balancing Innovation and Patient Safety
As healthcare organizations explore the potential of AI, they face a complex challenge: balancing innovation with caution. While some embrace AI as a solution to numerous problems, others remain concerned about its risks, particularly in high-stakes areas like patient care. How will healthcare leaders navigate this tension in 2025?
The coming year will see increased interest in healthcare organizations developing long-term AI strategies, optimizing workflows, managing
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Beyond Chatbots: How AI is Reshaping Medical Information Delivery
The demand for accurate and timely medical information has never been greater. As healthcare providers and patients navigate an increasingly complex landscape of therapies and treatments, the need for accessible and reliable MI is critical to delivering quality care. Organizations are moving away from traditional call centers and embracing artificial intelligence-enhanced digital solutions to meet these growing demands. This shift addresses the rising volume and complexity of inquiries and
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The Future of Revenue Cycle Management (RCM) in Healthcare: 4 Key Trends to Watch in 2025
The revenue cycle management (RCM) landscape for healthcare is poised for significant transformation over the next few years. As the industry continues to evolve, RCM providers and their customers face a complex web of challenges and opportunities. Among the key trends shaping RCM in 2025 are:
Rising Costs Driven by Cybersecurity and Regulatory Compliance Demands and Increasing Patient Bad Debt Rates The cost of doing business is increasing. RCM providers invest in robust
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Medicare Advantage Organizations: 7 Ways to Ensure Your Document Management Platform Offers Full Automation
For Medicare Advantage Organizations (MAOs), the summer months have historically been defined by the high stakes, tight turnarounds and document management challenges of the Annual Enrollment Period (AEP). From the first Monday in June to late September, employees of MAOs clear personal calendars to carry out the demanding responsibilities of modifying all plan documents to reflect a variety of updates, including those for each individual plan offering, as well as the model document language and
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8 Way AI Can Optimize Revenue Cycle Management in 2025
Revenue Cycle Management (RCM) is essential to healthcare operations, yet today's complex environments add increasing challenges. Too often, providers are in a difficult position to finance care due to growing challenges, such as experiencing over 30% of claims being denied and over a third of accounts receivable aged beyond 90 days, which can lead to a financially unsustainable situation. But there is promising news: Artificial Intelligence (AI) can be a game-changer for RCM. Today, healthcare
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