By Mark Taylor – Hospitals have EHRs. Health plans have care management platforms. Community organizations have case management tools. State agencies have eligibility, reporting, and program management systems. In many cases, those tools work well enough for the people using them every day. The issue is what happens when those organizations need to work together.

Find a new podcast or catch up on some of your favorites, here are all the newest episodes released this week on Healthcare NOW Radio. Have a great weekend!

By Dalton Han – The Economic of Denials Claims Reimbursement Friction – The easiest way to misunderstand health insurance denials is to count them once and move on. For years, healthcare organizations have treated denials as an administrative metric, a back-office measure reviewed by revenue cycle teams and reported through operational dashboards.

By Nick Bonds, Esq – Artificial intelligence is rapidly transforming the healthcare landscape, touching everything from how drugs are developed to how care is delivered and how claims are processed. For self-funded plans and their partners, AI presents meaningful opportunities to improve efficiency and outcomes.