John Muir Health has announced a strategic partnership with UnitedHealth Group’s (UHG) division, Optum to outsource their key non-clinical functions, including information technology, revenue cycle management, analytics, purchasing and claims processing. Through Optum’s operational technologies, analytic solutions and tools, and administrative services expertise, the partnership will ensure John Muir Health further advance its clinical and operational performance. The outsourcing agreement will
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Waystar Acquires AI Firm Digitize.AI to Tackle Prior Authorizations
Bain-Capital-backed revenue cycle management company Waystar is acquiring Digitize.AI, an artificial intelligence firm, to enable faster and smarter prior authorizations in healthcare – one of the largest pain points for both providers and consumers.Financial Impact of Prior AuthorizationsPrior authorizations, the process by which insurance companies and payers determine if they will cover a prescribed procedure or medication, are meant to help patients avoid surprise bills and unexpected
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Avaap Acquires Navigator Management Partners to Expand Depth in IT Advisory & Management Consulting
Avaap, an industry-focused IT advisory and management consulting firm, today announced its acquisition of Navigator Management Partners, a cross-platform management and technology consulting firm specializing in ERP systems, business intelligence (BI), and change management. The combined organization creates a depth and breadth of services for the major ERP platforms for organizations in healthcare, retail, higher education, non-profit, government, manufacturing, and other commercial
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KLAS: Are Revenue Cycle Outsourced Services Worth The Investment?
One-third of providers have buyer’s remorse when it comes to purchasing revenue cycle outsourcing services, according to a recent KLAS report. Provider organizations investing in outsourced revenue cycle services to relieve cost and resource burdens need their firms to take true ownership of the complex revenue cycle and deliver accordingly.For the report, KLAS spoke to 140 provider organizations using RCO or EBOS to determine which firms are delivering and which are falling behind. The KLAS
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Net Health Acquires Post-Acute Care EHR Provider Optima Healthcare Solutions
Net Health, a provider of cloud-based software solutions for specialized outpatient care, today announced it has acquired cloud-based post-acute care EHR provider Optima Healthcare Solutions. Optima post-acute care EHR platform supports contract therapy companies, skilled nursing and assisted living facilities, outpatient therapy clinics, home health therapy providers and hospice organizations.Acquisition Benefits for Net HealthOnce the acquisition closes, the combined company will serve
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How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?
Sloan Clardy, President, Technology Solutions at nThrive
The word “consumerism” and its derivatives have been tossed around the broader healthcare industry for the greater part of a decade. How we define consumerism and look at consumer behavior in relation to our institutions, systems, and programs seems key to unlocking the door to better outcomes and higher margins. However, in a landscape with more disruption than ever—greater vertical integration, technology, and regulation—we still lack
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Providence St. Joseph Health Acquires Epic Consulting Firm Bluetree
Providence St. Joseph Health, a national, not-for-profit Catholic health system, announced today that it will acquire Bluetree, an Epic consulting and strategy company that helps health care providers maximize their use of technology. Based in Madison, Wisconsin, and with offices in Denver and New York, Bluetree’s integrated team approach helps health care providers realize higher returns from their Epic EHR platform investment.Acquisition Benefits for Providence St. JosephBy acquiring Bluetree,
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Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
Rebecca Marsh, VP of Advisory Solutions, nThrive
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not
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Change Healthcare: Applying AI Could Identify Up to 35% of Denials Prior to Submission
Change Healthcare AI can help providers identify problem claims and prevent denials before they happen, avoiding costly rework, delays, and improving revenue flow.Today Change Healthcare announced that it has applied its Claims Lifecycle Artificial Intelligence (AI) technology to its claims management suite with the introduction of Assurance Reimbursement Management™ Denial Propensity Scoring and Revenue Performance Advisor Denial Prevention. With performance enhanced by Claims Lifecycle AI,
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Olive, Clinc Partner to Add Conversational AI to Digital Healthcare Employee for Hospitals
Olive, the company that introduced healthcare’s AI-driven digital employee has joined forces with Clinc, another trailblazer in Artificial Intelligence (AI), to free up time and resources by adding conversational AI capabilities to its existing technology. The combined offering allows Olive’s digital healthcare employee to bring hospitals and health systems broader applications across revenue cycle, supply chain and other financial and operational departments.
While new technologies
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