By Dr. Muhammad Numan – Every week, medical billing errors cost U.S. healthcare organizations millions of dollars. Put that on a yearly scale and the numbers add up fast. According to one estimate, U.S. providers lose over $262 billion annually to revenue cycle inefficiencies alone.
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Reported payers and health insurance industry news from Health Net, Aetna, CVS Health, UnitedHealthcare, CareFirst BlueCross BlueShield, and more.
By April Miller – Medical billing is a critical aspect of running a healthcare organization, but some facilities have to deal with slower manual processes and claim management challenges. As providers face growing financial and administrative demands, many are turning to automated medical billing to improve efficiency and accuracy.
By Zac Amos – As healthcare organizations modernize their payment systems, they have an opportunity to improve workflows and create more convenient experiences. However, new technologies can also raise concerns around security and transparency. Understanding these hesitations is essential for building trust and encouraging adoption.
By Dr. Girirajtosh Purohit – The statistic that keeps coming up in health IT circles is this one: 67% of healthcare organizations believe AI can improve the claims process, yet only 14% have actually deployed it. For independent practices, the gap between those two numbers is even wider.
The Accountable Care Prospective Trend (ACPT) in the Medicare Shared Savings Program (MSSP) could cost accountable care clinicians more than $700 million in lost shared savings for care delivered in 2025. These reductions are the result of inaccurate forecasting embedded directly into MSSP benchmarks.
Reported payers and health insurance industry news from UnitedHealthcare, Humana, Amerigroup, Anthem Blue Cross and Blue Shield, Independence Blue Cross, CVS Health, Aetna, Cigna Healthcare, and more.
By Matthew B. Fisher – Open enrollment ended on January 15, and with enhanced ACA premium tax credits now expired (increasing exposure for around 90% of ACA enrollees), millions of marketplace enrollees face higher premiums while health systems face a new wave of coverage volatility.
By Ryan Rotar – Healthcare finance leaders are entering 2026 with a clear mandate to stabilize operations, protect margins and rebuild resilience. That “reset year” mindset is showing up across executive teams, with many leaders signaling a shift from crisis response to structural improvement.