Most physicians spend about one-third of their working hours in the EHR and on administrative tasks — time that comes directly out of patient interaction, judgment work and recovery between cases. AI is starting to shift that calculus, but for…
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A publicly accessible database powering CMS’ Medicare Advantage provider directory exposed Social Security numbers of healthcare providers, The Washington Post reported April 30. The Post downloaded the database and found dozens of provider Social Security numbers. The database had been accessible for…
Cigna’s predictive, high-cost claimants model is saving the company an average of $2,000 per participating member each year, incoming CEO Brian Evanko said during an April 30 earnings call. Cigna’s insurance business has been leaning into AI-enabled risk prediction models…
Alignment Healthcare reported first quarter revenue of $1.2 billion, a 33% increase from the same period last year, the company said April 30. Medicare Advantage membership reached approximately 284,800 at the end of the quarter, up 30.9% year-over-year. The insurer…
The Cigna Group is “exploring strategic alternatives” for Evernorth’s EviCore, a subsidiary that works with health plans on utilization management, including prior authorization. During an April 30 earnings call, incoming CEO Brian Evanko clarified that a transaction is not currently…
UnitedHealth Group plans to acquire Alegeus Technologies, a health benefits administration platform, the company disclosed in its first-quarter earnings. Boston-based Alegeus administers consumer-directed healthcare benefit accounts including FSAs, HSAs, HRAs, wellness incentive, dependent care, and commuter accounts for more than…
Aetna President Steve Nelson has been appointed to the board of directors for data analytics company Health Catalyst. Mr. Nelson’s appointment, effective May 1, comes after Ben Albert was named CEO and Justin Spencer was named board chairman earlier this…
Health systems are facing a convergence of rising outpatient demand and tightening margins, forcing real estate decisions into the strategic spotlight. At the same time, limited construction and 92.7 percent occupancy rates are tightening supply. Delayed decisions can result in…
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Provider data errors contribute to billions in annual denied-claim waste. Physicians and staff spend up to 13 hours per week navigating prior authorizations and denials, with a meaningful share tied to data errors. And 90% of patients say accurate provider…
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Health plan leaders are no strangers to complexity, but the current moment feels different. Regulatory pressure, affordability concerns, the slow-moving shift to value-based care, and the operational weight of modernizing systems that were not built for today’s demands are all…
