While premiums for employer-sponsored health insurance continue to rise each year, employers who have been engaged in novel strategies – such as value-based drug formularies and tiered provider networks based on price and quality – experienced lower-than-average healthcare costs, finds a
Geisinger is partnering for an AI platform to better manage operating room time and staffing. The AI platform by partner Optmed.ai analyzes billions of logistical data points to manage OR workflow. This allows for more clinical procedures, which boosts revenue. It’s being used at Geisinger’s 10 hospital campuses. WHY THIS MATTERS
Elevance Health announced plans to acquire home health company CareBridge during its most recent earnings call, with Elevance Health CEO Gail Boudreaux saying it will serve as the foundation for subsidiary Carelon’s home health business. “We’re excited to continue to serve all its customers and members,” Boudreaux said on the call.
As revenue cycles increasingly depend on patients to pay their healthcare bills, AI digital engagement increases the collection rate, says Dugan Winkie, head of Commercial Strategy at Cedar.
The American Medical Association and the Illinois State Medical Society (ISMS) filed a lawsuit last week against MultiPlan claiming the data analytics agency is a
Community Health Systems took a financial hit for the third quarter of 2024 due in part to the continuation of high payer denials, higher workforce expenses and the unanticipated setback of back-to-back hurricanes.
A Dallas pharmacy owner who routinely billed insurance companies for headache sprays, pain creams and scar creams never dispersed to patients has been sentenced to 10 years in federal prison, according to the U.S. Department of Justice.
Asabys Partners is looking to invest a funding round of $200 million that includes U.S. investors into early stage companies offering novel solutions, says Maite Malet, director of investments and corporate development.
Unlike Q3 earnings reports from insurers more heavily in the Medicare Advantage market, Medicaid-based Molina Healthcare on Thursday released third quarter financials that beat expectations.
The Change Healthcare cyberattack compromised the protected health information of at least 100 million people, according to The HIPAA Journal. This represents a third of the population in the United States and makes the data breach the largest known breach at a HIPAA-regulated entity.