What You Should Know:
– Hospitals across the country are facing an ever-increasing onslaught of claims denials from insurance companies, with denials up 20.2% in 2023, according to the American Hospital Association. These denials – triggered…
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Oron Afek, CEO of Vim
The U.S. healthcare system is grappling with a surge in claim denials and prior authorization requirements, creating significant challenges for both providers and patients. To shed light on this pressing…
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What You Should Know:
– Revology, a provider of revenue cycle management (RCM) solutions, has announced a multi-year contract with Hancock Health to manage its RCM operations.
– Hancock Health expanded its partnership with revology after…
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In the life of a health system CEO, there is always something to worry about.
This has been especially true for Tampa General Hospital CEO John Couris in the past few weeks. His organization has…
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What You Should Know:
– SmarterDx, a provider of clinical AI for revenue integrity, has announced the launch of SmarterDenials, an innovative AI-driven solution designed to help hospitals fight unjust claim denials.
– With denials on…
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Top News
A US Senate subcommittee report finds that UnitedHealthcare, Humana, and CVS disproportionately denied prior authorization PA requests for post-acute care in their Medicare Advantage patients, often by using AI-driven tools.
UnitedHealth’s denial rate…
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What You Should Know:
– Claimable, a healthcare technology innovator, is taking on the pervasive issue of healthcare claim denials with the launch of its AI-powered appeals platform.
– This solution leverages advanced AI to analyze…
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News
Microsoft releases a major enhancement to Copilot that adds conversational capabilities, a virtual news presenter that will read headlines, webpage history recall, and the ability to answer questions about the text and images on…
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What You Should Know:
– A new Experian Health study reveals a concerning trend in the healthcare industry: claim denials are on the rise, and healthcare providers are increasingly hesitant to embrace technology solutions that…
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Pete Heydt, President of PatientPay
A recent survey of community hospitals found nearly 70% rate their financial health as “average” or poor.” In this environment, community hospitals must take a fresh look at their approach…
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