Fashion
Bridging the Gap Between Data and Quality Improvement for Hospitals
Hospitals don’t suffer from a lack of data; they suffer when data can’t be translated into timely, accountable action. Clinical, registry, and operational information often sits in different systems with different owners. Definitions drift across service lines and facilities, reports land after decisions have already been made, and even when gaps are obvious, ownership for…
What is denial management in healthcare?
At A Glance Denial management is the process of addressing why healthcare claims are rejected or denied, instead of resolving them after they occur. This article explores denial management strategies, why outdated processes fail and how AI-driven solutions can help reduce denials and streamline workflows. Key takeaways: Understanding why a claim is denied helps providers…
Cigna Launches Mental Health Collaboration with Headspace
Cigna Healthcare has teamed up with mental health company Headspace to offer digital support for its members, the companies announced on Monday. The partnership, called Headspace for Cigna Healthcare, will become available starting January 1 to more than 7 million people as part of Cigna’s employer behavioral health offerings. Headspace was previously just an in-network…
Understanding healthcare claim denials: Reasons and solutions
At A Glance Top reasons for healthcare claim denials include missing or inaccurate data, lack of prior authorizations, and incomplete patient registration. Discover how automation and artificial intelligence (AI) can help healthcare organizations overcome these roadblocks and break the denial cycle. Key takeaways: The number one reason for medical claim denials remains unchanged in 2025,…
How One CEO Thinks Ambient Scribes Can Differentiate Themselves
Provider organizations are continuing to adopt AI tools across their departments and clinics, and ambient documentation startups are facing the challenge of differentiating themselves in a field that’s become quite crowded with scribing solutions. The next phase of ambient documentation goes beyond simply scribing — it’s about using visit transcripts and context to do useful…
High Energy Meets High Performance at Experian Health’s Annual Client-Focused Summit
Experian Health’s High-Performance Summit (HPS) 2025 brought together top patient access and revenue cycle leaders to the heart of Nashville for an energizing two days of collaboration and connection. From insightful client-led educational breakouts to thought-provoking peer-to-peer roundtables with Experian Health leaders, attendees exchanged insights on how they are tackling some of healthcare’s toughest challenges…
How Philips Uses Monitoring Tech to Help Close Care Access Gaps
As the nation’s healthcare industry continues to struggle with workforce shortages and access gaps, Philips is expanding beyond its traditional medtech roots. The company isn’t just selling monitoring devices — it’s using them directly to help health systems deliver diagnostic services in places where there aren’t many specialists. Essentially, Philips operates as both a medtech…
Infographic: One Big Beautiful Bill Act (OBBBA) readiness
As the healthcare industry prepares for the implementation of the One Big Beautiful Bill Act (OBBBA), it’s clear that readiness is not one-size-fits-all. Hospitals are leading the way, but most providers will need focused updates to their Medicaid/Medicare processes to ensure compliance and protect revenue. In October 2025, Experian Health surveyed 200 healthcare decision-makers to get…
Cigna’s Rebate-Free Model Sounds Nice, But Experts Are Still Skeptical
As lawmakers eye tougher oversight of pharmacy benefit managers, PBMs seem to be taking their own steps to rein in practices that have invited scrutiny. However, experts remain skeptical and say it won’t be enough. The latest example comes from Evernorth, the health services division of Cigna that operates Express Scripts, one of the largest…
Infographic: The evolving role of AI in healthcare RCM
When it comes to artificial intelligence (AI) usage in the healthcare industry, adoption is steadily gaining momentum as providers explore new ways to utilize this technology in their revenue cycle management (RCM) processes.While full trust in AI remainslimited, especially for high-stakes decision-making, confidence is rising. Privacy, security, and implementation costs continue to posesignificantchallenges. However,providersbroadly agreethat…