The best way for insurers to make sure they’re in compliance with the mandates of risk adjustment is to use natural language processing for accurate documentation and auditing, according to Dr. Calum Yacoubian, director, Healthcare Strategy, Linguamatics, an IQVIA company that offers an NLP-based AI platform.

The New Jersey Department of Health has been awarded a grant from the Centers for Disease Control and Prevention for $80.5 million over the next five years to support public health workforce development and training, build foundational capabilities and modernize its data infrastructure.

A House bill would put a stop to VA EHR modernization. What’s the objection? We’ll delve deeper into that and other issues in this week’s Top Stories, including Cigna’s lawsuit against CVS Health, and Mark Cuban Cost Plus Drug Company’s latest partnership. For more news and features from Jeff Lagasse, visit Healthcare Finance News. In this episode:

The No Surprises Act, which was signed into law in 2020 and went into effect on January 1, 2022, aimed to take patients out of billing conflicts between providers and payers. By all accounts, this part of the law has been successful in preventing patients from getting a surprise medical bill when they see an […]

Health insurer Humana has hired industry veteran Dr. Sanjay Shetty to lead its healthcare services business CenterWell, the largest provider of senior-focused primary care, provider of home health services, and fourth largest pharmacy benefit manager in the U.S.

Deputy CEO of Eastern Health Cluster Dr. Ahmed Al-Musaed talks about the network’s mission to become an independent accountable care organization.  

Healthcare executives need to address technology and data silos in their organizations and none feel confident tackling this issue, according to findings by KLAS from its sixth annual Digital Health Investment Symposium. Providers told KLAS that a lack of true interoperability and poor integration and scalability of disparate point solutions exacerbate staff burnout and contribute […]

The U.S. spends far more on healthcare than do other countries, yet it doesn’t have the results to show for it. Despite the higher spending, life expectancy and other health metrics fare far worse in the U.S. than in other locations across the world.

BehaVR CEO Aaron Gani talks about VR’s use in healthcare today, the barriers to wider acceptance and its future in the field.  

Congress added protections to keep telehealth and acute hospital care at home for two years after the public health emergency ends, but many questions remain as to how the expiration of PHE waivers will affect these two programs and others, according to experts with the Connected Health Initiative.