Independent ambulatory organizations have absorbed much of the volume moving outpatient — but the scheduling, intake, coding, prior authorization and reporting systems underneath were built for a different payer environment and an earlier generation of technology. A new Becker’s Healthcare…
Presented by:
Ambient AI scribes are easy to pilot and hard to scale. The Department of Veterans Affairs put the category to a national test, evaluating more than 150 solutions before deploying a select few inside its decades-old EHR at federal security…
Presented by:
Health technology and benefits administration platform Judi Health is launching a Medicare Part D plan called Judi Rx Retire, according to an Oct. 20 news release. The product is a CMS-contracted and -approved Employer Group Waiver Plan, meaning employers can…
Health insurance brokerage company eHealth could be delisted from the Nasdaq stock exchange after the company’s shares closed below the $1 minimum bid price for 30 consecutive business days. In an Oct. 16 SEC filing, eHealth said it has until…
Karen Deutsch is stepping into UnitedHealthcare’s chief marketing officer role, according to an Oct. 19 LinkedIn post. Ms. Deutsch has spent four years with the insurer, serving as chief marketing officer of government programs and, before that, of Medicare and…
Leading up to marketplace open enrollment, CMS issued guidance to insurers Oct. 19, encouraging greater oversight of agents and brokers. The memo focuses on issuers using the federally facilitated exchange. CMS expects issuers to follow much of the guidance beginning…
Eighteen payers are exiting the Medicare Advantage market for 2027, according to CMS data. Ten of the eighteen are owned entirely or in part by health systems. Several other payers will stay in MA next year only through special needs…
Health system leaders say their ability to build AI tools internally has grown significantly. During a closed-door executive roundtable at Becker’s IT + Revenue Cycle Conference in September, participants were asked by show of hands who expected their startup purchasing…
Presented by:
Medicare Advantage organizations face relentless pressure to contain rising medical costs, protect margins, and deliver sustainable growth. As plans focus on reducing unnecessary spend, an equally important opportunity is often overlooked: ensuring the accurate reimbursement and revenue recovery that support…
Presented by:
The inpatient-or-observation status decision is a consequential one for hospitals. For patients arriving by ambulance, much of the clinical story unfolds before they reach the hospital: vital sign trends, field interventions and response to treatment. Yet that information often arrives…
Presented by:
