By Austin Dobson – The CMS Interoperability and Patient Access Final Rule requires patients to access their data which caught many U.S. payer organizations on their heels. It includes steep technical compliance climbs for teams that have never had to work with these standards or meet these requirements.
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By Devin Partida – The COVID-19 pandemic caused drastic shifts throughout virtually all segments of society. Here are six ways the health crisis influenced trends in the insurance industry.
By Bernard J. Wolfson – In April, San Francisco-based primary care company One Medical revealed an eye-popping compensation package for its chief executive and chairman, Amir Dan Rubin. His $199 million payday, particularly noteworthy at a company that has yet to turn a profit, made Rubin the second-highest-paid CEO in the United States last year — but only on paper.
Latest news being reported on payers and the health insurance industry including news from Antidote, UnitedHealthcare, Anthem, AHIP, UPMC Health Plan, Blue Cross Blue Shield Association, Humana, Medica, Cigna, Oscar Health, CVS Health, Wolters Kluwer Health and more.
By Monte Sandler – The U.S. urgent care industry has been faced with numerous and novel financial challenges throughout the COVID-19 pandemic thus far. Like most industries, urgent care clinics have had to pivot and adapt their business processes and workflows to best navigate new and unfamiliar territory, and this is especially true when it comes to COVID-19 billing and reimbursement.
By Brian Robertson – A vortex of trends threatening health system finances have made using advanced analytics including artificial intelligence and machine learning, to streamline the revenue management cycle, both necessary and inevitable.
At the height of the COVID-19 pandemic, physicians reported being bedeviled by unnecessary, bureaucratic obstacles that the health insurance industry pledged to reduce three years ago. The data highlights the urgent need for new bipartisan legislation introduced last week in the House, the Improving Seniors’ Timely Access to Care Act.
Latest news being reported on payers and the health insurance industry including news from CareSource, CVS Health Corporation, Humana, Independence Blue Cross, Anthem Inc., UnitedHealthcare, Blue Cross Blue Shield Association, Cigna, Oscar Health, Medica and more.
By Eric Demers – In the quest to make administrative work automated, payers and intermediaries for years have been developing their own homegrown systems to get closer to fully electronic processes for provider data management and revenue cycle management.