Author: Super User

The operational and financial complexity of healthcare delivery can create tension between payers and providers. This tension can be heightened due to regulations and the implementation of sub-performing technologies.

Based on patient and provider market research, hospitals can make smarter decisions about the patient payment process that will improve both customer satisfaction and the revenue cycle.

A number of federal policies have gone into effect since the beginning of 2021, while other policies will be implemented over the next several years. Payers and providers alike need to understand what these various government mandates include so they…

For decades, the prior authorization process has been an albatross for payers, providers and patients. Although utilization management processes are necessary to ensure value-based care, these processes are often labor intensive, inefficient and time consuming. Artificial intelligence (AI) technology has…

To improve health outcomes and lower healthcare costs, providers and risk-bearing entities must collaborate across the entire care continuum. This is essential for patient and member-centered care.

Peter Antall, MD, chief medical officer for Amwell, talks about Virtual Primary Care (VPC) and why health plans and employers should be thinking about it.

Trauma surgery is the art of prioritization and efficiency.

One of the most frustrating things for consumers of healthcare is the surprise medical bill. This is generally a bill that takes months to process before the consumer sees it. Moreover, there remains a lack of cost transparency throughout the…

The lines between payer and provider are blurring, as providers take on risk and health plans partner or acquire providers.

What’s the best way to set productivity targets for a back office in terms of revenue cycle management? And how do you motivate staff to reach those goals?