Following its 2018 merger, Bon Secours Mercy Health faced a fragmented patient monitoring environment, with inconsistent technologies, networks and clinical workflows across facilities. Through a 10-year collaboration with Philips, the health system is building a standardized enterprise monitoring platform across…
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Twenty-three percent of Medicaid beneficiaries with hepatitis C received treatment within six months, according to an HHS Office of Inspector General report published Nov. 2. OIG identified roughly 230,000 Medicaid beneficiaries with the disease in 2023. According to the report,…
Tulsa, Okla.-based Hillcrest HealthCare System is no longer in network with Aetna as of Nov. 1. Hillcrest and Aetna have been unable to reach a new agreement, according to the health system. Hillcrest said the update affects roughly 15,000 people…
Payer friction is often treated as a series of isolated challenges: an eligibility issue, a prior authorization delay, a documentation gap or a denial to resolve. But across a fragmented revenue cycle, those challenges rarely stay contained. As friction moves…
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The ACA marketplace open enrollment period began Nov. 1, with consumers facing higher average premiums, fewer plan options in some states and new regulatory scrutiny. Seven notes:
UnitedHealthcare will stop requiring prior authorization for more than 2,000 pediatric care codes for members under 18 starting Dec. 1. The payer published the full list of CPT codes Nov. 2. The codes span common services, diagnostic imaging, sleep studies,…
Fragmented records and duplicate identities cost healthcare organizations efficiency, revenue and trust. As identities and records multiply across systems and care settings, it becomes harder to truly know patients and members, even as they expect seamless, secure experiences across apps,…
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Insurers are rolling out commercial offerings for 2027, and many are navigating a landscape of greater affordability pressures on employers and, ultimately, their employees. Professional services firm Aon projected that average employer healthcare costs could surpass $19,000 per employee in…
Health systems can’t hire their way out of the workforce shortage. As demand for clinical talent grows, traditional education and training pipelines are struggling to keep pace with staffing needs. CommonSpirit Health and Intermountain Health are taking a different approach.…
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The Houston metro has added tens of thousands of new business applications every year since 2021. From the family-owned restaurants along Hillcroft to the construction crews building out Katy, these are companies where the owner handles payroll personally and losing…
