By Cynthia Henry – As the healthcare industry adapts to economic and regulatory changes, Medicare Advantage stands out as a cost-effective model consistently delivering value to beneficiaries. Compared to traditional fee-for-service Medicare, MA excels in financial efficiency and quality outcomes, making it a resilient choice for enrollees and a strategic asset for payers.
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By Ian Cohen – Healthcare organizations in particular are responsible for managing privacy risks resulting from third-party website functionality. Third parties can be introduced in various ways for many purposes, such as simplifying website development, adding “share” buttons like the Facebook button, or sending user data to third-party advertising services.
By Kat Jackson -The role of a medically trained interpreter is nothing short of essential in such a growing and diverse world. With language barriers often standing in the way of quality care, these interpreters ensure that every patient, regardless of their native language, can have equal access to healthcare.
By Susan Clark – Like many of you, I’m loyal to a fault to people and companies that have my back. That’s why making Clonnections is so important, to establish ties for future business friendships and collaborations that may benefit you, the other person, or both.
By Dr. Tom Milam – A projected shortage of nearly 20k physicians by 2050 signals that traditional models of behavioral health care delivery no longer meet the expanding needs of the U.S. population. In fact, they create barriers to timely, affordable treatment for many Americans through extended wait times, high costs, and limited availability.
By Chuck Suitor – Picture a hospital where the power is out, patient records are inaccessible, and life-saving equipment has stopped functioning. This scenario could become a reality if we don’t take immediate action. Cyberattacks have evolved beyond mere data theft; they now pose a direct threat to patient safety and the integrity of our healthcare system.
By Matthew Hawley – Artificial intelligence has been touted as a “solution” to modernize many payers’ processes and functions, including their traditional payment integrity programs. Yet seeing AI as the answer to health plans’ administrative burdens is overly simplistic.
By Zac Amos – Preventing unnecessary hospital readmissions is critical for improving patient outcomes and controlling healthcare costs. Each readmission adds to healthcare costs and disrupts a patient’s recovery, impacting quality of life and increasing risk.
By Noel Felipe – With high labor costs, low margins and claims denial rates averaging almost 15%, according to the American Hospital Association, providers need new approaches to effective revenue cycle management. Automation and AI tools can increase productivity, reduce the cost to collect and accelerate revenues.