It’s no secret that many hospitals find themselves in faltering fiscal health lately. According to the Harvard Business Review, since the start of 2016, some of the nation’s top hospitals have lost hundreds of millions of dollars of income.These challenges can be especially pressing for academic medical centers (AMCs), who process a large volume of complex, high-ticket medical claims and generate revenue from direct patient care.Today, AMCs are finding themselves less insulated from changes in
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R1 and Automation Anywhere Team Up to Apply Enhanced AI to Revenue Cycle Management
R1, a provider of revenue cycle management (RCM) services is teaming up with Automation Anywhere to incorporate their Robotic Process Automation (RPA) technologies into the healthcare revenue cycle. This move supports the industry’s call for digital transformation across hospitals, health systems and physician practices alike. Benefits of Applying AI in Revenue Cycle ManagementR1’s technology solutions currently leverage RPA, driving improved results for its clients, such as increasing net
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Today’s Behavioral Health Providers are Failing: Why Data Analytics is the Solution
Today, behavioral health is more important than ever. Major news outlets, from The New York Times to The Wall Street Journal, constantly cover the mental health epidemics wracking the nation, be it widespread opioid abuse or the steady, upward creep of suicide and self-harm.Spurred on by the scope and severity of these societal problems (as well as new legislation passed to address them), the behavioral health sector has grown exponentially. Yet this field is not without its problems: despite
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Oncology Analytics Raises $21M to Provide Health Plans With Evidence-Based Analytics for Utilization Management
Oncology Analytics, an Atlanta-based digital health startup that provides health plans, providers and patients with an evidence-based, analytics focused approach to utilization management for oncology, today announced it has raised $21 million in Series B funding. The Series B round was led by Oak HC/FT and was joined by new investor McKesson Ventures along with returning investors Blue Cross Blue Shield Venture Partners and Sandbox Advantage Fund. The startup plans to use the capital to expand
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Patient Leakage Trends: Understanding the Gap Between Priority and Action
The vast majority of healthcare executives recognize the importance of referral management; however, their ability to analyze and address patient leakage lags behind, according to a new survey conducted by Fibroblast, a referral management platform. The survey reveals almost a quarter (23%) of healthcare executives do not even track patient leakage at all. All this despite almost 9 in 10 who say it’s a priority.Survey Report BackgroundHealthcare organizations have many strategic priorities, but
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Why Healthcare Marketers Should Care about the Patient Financial Experience
What comes to mind when you think of health system marketing? For most people, it’s dynamic content on the organization’s latest clinical advancements, philanthropic efforts, wellness management and relationship-building efforts within the community it serves. It’s also understanding patients and their motivations, using consumer research and analysis, focus groups, surveys, and other tools. You probably don’t think about the healthcare billing experience.It’s understandable. Frank discussions
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R1 Expands Physician Practice Footprint with CarePoint Health and Holston Medical Group
Hatred of billing and payment processes is a time-honored tradition in healthcare. Two of the biggest reasons it’s so frustrating as a patient are the lack of transparency and digital elements that we expect out of any typical consumer experience. R1, a provider of technology-enabled revenue cycle management (RCM) services is working to change this, announcing today its continued expansion into the physician practice market with the addition of CarePoint Health, one of the largest privately-held
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Waystar Acquires UPMC’s Ovation Transaction Services Business for Enhanced Claims Monitoring Capabilities
Waystar(formerly known as ZirMed), a provider of healthcare revenue cycle management services, today announced it will be acquiring a major part of the transaction services technology business of Ovation, a health information management and management cycle solution currently owned and operated by University of Pittsburgh Medical Center (UPMC). Financial details of the acquisition were not disclosed.Ovation Transactions uses advanced algorithms to monitor claims at many health systems and
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Cedar Unveils Next Evolution of Patient Payment Platform to Optimize Revenue Cycle
Cedar, a patient payment and engagement platform, announced the next evolution of its flagship solution, Cedar Pay. The enhancements now allow providers to offer a truly unified patient billing experience and simple checkout options.Healthcare executives still struggle to help patients understand and pay healthcare bills, with 50 percent of provider executives reporting the need to improve the patient billing and payment experience, according to a recent Cedar study. The next evolution of
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Change Healthcare, Amazon Partner to Build Claims & Payment Network
Change Healthcare, today announced that its Intelligent Healthcare Network will now be complemented with a cloud-based network built on Amazon Web Services (AWS). The new cloud-based network infrastructure to promote more efficient, transparent, and secure administrative and financial transactions.As the first stage of a collaborative initiative working with stakeholders across the healthcare ecosystem, the company will deploy this network on Amazon Web Services (AWS). The network will allow the
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