By Dmitrii Evstiukhin – Medical insurance claims processes create mounds of documents that often get backlogged or denied, slowing business operations and reducing efficiency. Now AI solutions are dramatically accelerating medical claims processing while reducing errors and enhancing overall efficiency.
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Latest news being reported on payers and the health insurance industry including news from Oscar Health, AHIP, Independence Blue Cross, Independence Health Group, CVS Health, UnitedHealth Group, Humana, and more.
By David Burda – To answer the question in the headline, which I haven’t seen anywhere yet, is yes. Yes they did. That’s according to the latest annual March report to Congress from the Medicare Payment Advisory Commission, or MedPAC.
By Tom Dorsett – As of April 2023, the FDA has approved the use of 40 “biosimilars”, which are a less expensive version of an advanced “biologic” medication. The rise of biosimilars is a major source of excitement as a way to control rising drug costs. But is the fervor warranted?
By Rajesh Voddiraju – More than ever, providers need to deliver greater payment flexibility and transparency to patients amidst the proliferation of high-deductible health plans and soaring patient balances.
By John Wallace PT MS – Many growing practices need help scaling their people-driven processes, including billing workflows. No matter what the challenge a solution is streamlining billing operations without relying solely on software.
By David Burda – I didn’t know this until I looked it up, and that there’s a thing called “Sutton’s Law” that medical schools teach to medical students. The law basically says first order the diagnostic tests that will confirm or rule out the most likely diagnosis of a patient’s illness or injury.
Latest news being reported on payers and the health insurance industry including news from Humana, Aetna Better Health of Illinois, UnitedHealth Group, Oscar Health, CVS Health, Independence Blue Cross, BCBS Association, AHIP, Cigna, CareSource, and more.
By Travis Schneider – It’s essential to consider how an economic downturn may impact the healthcare industry. Although the ongoing need for medical care means people view healthcare as stable, and though it may experience the impact later than other industries, it is not immune from…