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Revenue cycle leaders are under immense pressure to prevent denials, improve payment accuracy and relieve administrative burden. But manual workflows can’t keep pace with the demands of modern RCM. This new Forrester Consulting report reveals how health systems using AI…
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The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) represents a significant compliance lift. However, payers have the opportunity to leverage the rule as a means to accelerate broader transformation. From streamlining prior authorizations to integrating clinical, claims and SDOH…
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With CMS-0057 on the horizon — and growing friction with providers and members — health plans know utilization management needs more than a tune-up. But fragmented systems, outdated policies and poor access to clinical data continue to slow progress. In…
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Rising demand for behavioral healthcare services is colliding with staff shortages, leaving many organizations struggling to keep up. Rogers Behavioral Health found a different path, using clinical-grade AI to transform its intake process. By embedding AI into front-door workflows, Rogers…
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Venipuncture procedures in patients with difficult venous access (DVA) are typically associated with pain, fear and anxiety, making obtaining a quality sample difficult. Choosing a collection device that is appropriate for DVA patients is important. Previously, smaller gauge needles resulted…
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Healthcare leaders are under immense pressure to drive efficiency, improve access and reduce costs — yet many are relying on patchwork technology that can’t keep up. Point solutions may solve one problem, but they often create three more. Systems like…
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Hospitals can’t afford to operate at the status quo. Staff are stretched, ORs are underused and inpatient beds stay full because discharges lag. But leaders from Sarasota Memorial Health Care System, Cone Health, Northwell Health, UVA Health and Penn Medicine…
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From ambient listening to active assistance, clinical AI is rapidly reshaping care delivery. But documentation burden, burnout and retention challenges persist. Now, a more active wave of AI tools is emerging — ones that assist with drafting, answering clinical questions…
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Digital fragmentation is stalling care coordination. Clinicians toggle between systems. Pharmacists use different drug references than physicians. Patients receive inconsistent information. And IT leaders are left stitching solutions together — with limited success. A systemic approach to integrating clinical information…
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Value-based care has moved from aspiration to action for many health systems. Some organizations are finding success by aligning care delivery models, technology and team culture around shared goals. For health systems like Cone Health, this has resulted in sustainable…
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