Claim denials are increasing, especially in Medicare Advantage, and it’s affecting hospital’s revenue cycles and patient care. “We definitely are seeing an increase in denials,” said Sherri Liebl, executive director of Revenue Cycle, CentraCare Health, a large, multi-specialty system in Minnesota. CareCare has two acute care hospitals, seven Critical Access Hospitals and 30 standalone clinics, […]
ML enables more accurate and timely cardiac care decisions and makes scans easier for the patient, says UltraSight CEO Davidi Vortman.
The American Medical Association today identified the industry giants with the biggest shares of the markets for commercial health insurance, Medicare Advantage, and public health exchanges, with UnitedHealthcare and Elevance Health representing the largest insurers by overall market share. The AMA, which weighs in on policy issues, said high levels of market concentration is leaving […]
The U.S. House of Representatives has passed H.R. 5378, the Lower Costs, More Transparency Act, a bill aimed at mandating greater hospital price transparency that would curb pharmacy benefit manager spread pricing. The bill passed the House by a vote of 320 to 71 and now heads to the Senate for consideration. Congress is scheduled […]
Humana has signaled its intent to reduce its greenhouse gas emissions by 54.6% by 2023, using 2019 as a base year. In line with a 1.5°C temperature trajectory, Humana’s near-term science-based emissions reduction targets have been approved by the Science Based Targets initiative (SBTi).