Artificial intelligence could rework the claims and reimbursement process, allowing faster decision-making, reduced errors ...

Enterprise payer platforms remain the system of record as AI accelerates productivity and insight. AI does not replace ...

Finding the path to success in the post-Affordable Care Act world of healthcare represents a great opportunity and challenge for payer organizations. Part of that journey is changing the relationship ...

A new study from PwC’s Risk Assurance practice shows that healthcare providers and payers are often not aligned when it comes to navigating risk management challenges. The study surveyed senior ...

CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...

Insurance giant UnitedHealthcare is rolling out a new program that aims to support the finances of cash-strapped rural hospitals. Through the pilot, UHC will accelerate the payment timelines in its ...

One impending deadline of the Affordable Care Act that flies under the radar is the one in which payers must comply with the mandate on electronic claims reimbursement. From many perspectives, ...

The key issue in the emerging national health care debate is the role of the federal government. While some Members of Congress favor a “single-payer” national health insurance system—”Medicare for ...

Healthcare is evolving at breakneck speed, especially with the rise of AI. Yet many healthcare organizations, in particular health insurers, are still tied to legacy systems and complex internal IT ...