• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

healthcare spending

FWA Is Increasing. Healthcare Costs Are Spiraling. Now There’s A New Generation Of AI Technology To Take Back Control

by Theja Birur, Chief Technology Officer & Founder, 4L Data Intelligence 05/12/2023 Leave a Comment

FWA Is Increasing. Healthcare Costs Are Spiraling. Now There’s A New Generation Of AI Technology To Take Back Control

In 2020, the Department of Justice estimated that fraudulent, wasteful, and abusive (FWA) billing practices account for more than $100 billion of the nation’s healthcare expenditures.1 Today, the National Healthcare Anti-Fraud Association (NHCAA) conservatively estimates that healthcare FWA costs the nation about $68 billion annually, representing 3% of the nation's $2.26 trillion in healthcare spending.2  FWA estimates from commercial health plans range as high as $230 billion annually, or
Read More

Inflation, Recession Fears Increase Tension Between Healthcare Patients and Providers

by Syed Hamza Sohail 01/19/2023 Leave a Comment

Inflation, Recession Fears Increase Tension Between Healthcare Patients and Providers

What You Should Know: - Weave (NYSE: WEAV), the all-in-one customer communication and engagement platform for small- and medium-sized businesses, today announced new research, the 2023 Healthcare Business Insights Report, which examines how inflation and recession fears are impacting small healthcare offices, the patient experience and the strength of patient-provider relationships.  - The healthcare industry has become increasingly more competitive in the last five years. The sheer
Read More

43% of Consumers Spend Up To A Month Correcting Billing Errors

by Syed Hamza Sohail 01/16/2023 Leave a Comment

43% of Consumers Spend up to a Month Correcting Billing Errors

What You Should Know: - In the online survey administered to 800 U.S. consumers who had found at least one medical billing error in the last five years, 41% of the consumers are significantly frustrated trying to address billing errors.   - Zelis, a company modernizing the business of healthcare, announced findings from a new study on consumer billing conducted in partnership with Hanover Research, an independent research firm. The full results and insights are featured in the
Read More

Healthcare Payment Integrity: Insourcing vs. Outsourcing

by Steve Lang, Senior Vice President, SyTrue 01/13/2023 Leave a Comment

Healthcare Payment Integrity: Insourcing vs. Outsourcing

Faced with shifting regulations, growing administrative complexity, high-dollar claims, and the looming potential of audits, payment integrity is an increasingly important priority for payers. Payers realize that when they make the correct payments to providers initially, they increase trust, reduce provider abrasion, and lower appeal rates. Traditionally, many health plans have outsourced payment integrity work to vendors who perform reviews, and then return the results to those health
Read More

20 Executives Share Health IT Predictions to Watch in 2023

by Fred Pennic 01/11/2023 Leave a Comment

20 Executives Share Health IT Predictions to Watch in 2023

We asked several healthcare executives to share their health IT predictions and trends for 2023. Nate Maslak, the co-founder/CEO of Ribbon Health Data Personalization: 38% of consumers want more personalized and inclusive healthcare options. In 2023, we’ll see a greater shift towards healthcare enterprises prioritizing this personalization, by innovating their current data infrastructure to show a range of information that lets a patient make an educated care decision based on what
Read More

How Community Health Investments Will Define The Future of Healthcare

by Paul R. Ross, President of SSM Health Foundation 12/08/2022 Leave a Comment

How Community Health Investments Will Define The Future of Healthcare

Community health is more than how someone’s physical health needs are being met. It involves all the physical, social, and environmental factors — access to nutritious food, stable income and housing, education opportunities, and more. These social determinants of health, or SDoH, are interconnected and integral to the overall health of communities across the world — and healthcare systems are taking note.   With the onset of the COVID-19 pandemic, it became clear one person’s health could
Read More

The Desire for Cost Savings Driving Key Trends in Healthcare Market

by John Calcagnini, Managing Director of Healthcare & Life Sciences at Stout 10/28/2022 Leave a Comment

The Desire for Cost Savings Driving Key Trends in Healthcare Market

The healthcare market underwent significant changes during the pandemic as patients rethought how they received care, including opting for more telehealth and deferred elective procedures, but patient care is now normalizing as patients return to the office. However, payers are working to reduce the cost of care to reel in healthcare costs and keep premiums lower to remain competitive, driving key changes. Ambulatory Surgery and Home Care Surgeries are increasingly moving away from
Read More

GRAIL, Carrum Health Partners to Help Employers Address Cancer Care

by Jasmine Pennic 10/13/2022 Leave a Comment

GRAIL, Carrum Health Partners to Help Employers Address Cancer Care

What You Should Know: - GRAIL and Carrum Health announce a partnership to help self-insured employers improve care outcomes for their employees while also reigning in the rising cost of healthcare spending for this group: CANCER. - This product integration will enable employers who offer Carrum Health benefits to provide eligible employees the Galleri test as part of the comprehensive cancer care Carrum delivers. - Members who receive a signal detected from the Galleri test can work
Read More

SDoH: The Power of Proactive Social Care

by Ted Quinn, Founder & CEO of Activate Care 09/30/2022 Leave a Comment

SDoH: The Power of Proactive Social Care

As we emerge from a public health crisis that magnified and exacerbated health disparities, the need to address social determinants of health (SDOH) has reached a pivotal moment. In both social and healthcare, the pressure is mounting to address key drivers of health and amplify value-based care models.   To succeed, these models need to be effective and measurable as we work to build trust with all stakeholders (e.g., at-risk individuals, health plan members, community
Read More

Inflation Could Result in Additional $370B in Healthcare Costs by 2027

by Syed Hamza Sohail 09/19/2022 Leave a Comment

Inflation Could Result in Additional $370B in Healthcare Costs by 2027

What You Should Know: - McKinsey & Company’s latest report reveals inflation could result in $370 billion in an additional increase above the baseline in healthcare costs by 2027, causing the government, employers and consumers to burden the cost. - The piece showcases the impact healthcare inflation will have over the next five years without immediate action, threatening affordability and access to care for consumers, and posing a material risk to profitability for providers, payers,
Read More

  • Go to page 1
  • Go to page 2
  • Go to page 3
  • Interim pages omitted …
  • Go to page 5
  • Next Page

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

2025 EMR Software Pricing Guide

2025 EMR Software Pricing Guide

Featured Interview

Paradigm Shift in Diabetes Care with Studio Clinics: Q&A with Reach7 Founder Chun Yong

Most-Read

Medtronic to Separate Diabetes Business into New Standalone Company

Medtronic to Separate Diabetes Business into New Standalone Company

White House, IBM Partner to Fight COVID-19 Using Supercomputers

HHS Sets Pricing Targets for Trump’s EO on Most-Favored-Nation Drug Pricing

23andMe to Mine Genetic Data for Drug Discovery

Regeneron to Acquire Key 23andMe Assets for $256M, Pledges Continuity of Consumer Genome Services

CureIS Healthcare Sues Epic: Alleges Anti-Competitive Practices & Trade Secret Theft

The Evolving Role of Physician Advisors: Bridging the Gap Between Clinicians and Administrators

The Evolving Physician Advisor: From UM to Value-Based Care & AI

UnitedHealth Group Names Stephen Hemsley CEO as Andrew Witty Steps Down

UnitedHealth CEO Andrew Witty Steps Down, Stephen Hemsley Returns as CEO

Omada Health Files for IPO

Omada Health Files for IPO

Blue Cross Blue Shield of Massachusetts Launches "CloseKnit" Virtual-First Primary Care Option

Blue Cross Blue Shield of Massachusetts Launches “CloseKnit” Virtual-First Primary Care Option

Osteoboost Launches First FDA-Cleared Prescription Wearable Nationwide to Combat Low Bone Density

Osteoboost Launches First FDA-Cleared Prescription Wearable Nationwide to Combat Low Bone Density

2019 MedTech Breakthrough Award Category Winners Announced

MedTech Breakthrough Announces 2025 MedTech Breakthrough Award Winners

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |