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Healthcare claim denial statistics: State of Claims Report 2025
Key takeaways: As claims denial rates continue to climb, pressure is mounting on healthcare organizations to find new ways to reduce denials. Leveraging artificial intelligence (AI) and automation-based tools, like Experian Health’s AI Advantage™ and Patient Access Curator™ solutions, is proven to lower denial rates. More than half of survey respondents say they’d replace existing…
Startup Expedition Medicines Launches to Learn Nature’s Rules for Binding Elusive Proteins
Thousands of proteins are known to cause disease, but while the biological activity of these proteins is understood, the way to hit and modulate them with a drug is not. Nature still has ways to bind molecules to these elusive proteins, said Molly Gibson, co-founder and CEO of startup Expedition Medicines. What scientists have lacked…
Case study: How USA Health cut manual work by 50% with automated authorizations
“We knew we needed to transform our authorization workflow processes. We were experiencing a high rate of denials due to a lack of authorizations.” – Amy Grissett, Senior Director of Ambulatory Revenue Cycle at USA Health Challenge: Manual processes that couldn’t keep up Serving more than 250,000 patients each year across hospitals, specialty centers and…
Ventyx Bio Cardiovascular Drug’s Phase 2 Results Set Up Talks With a Big Pharma Firm
An experimental Ventyx Biosciences drug led to statistically significant reductions in blood levels of a protein that’s an indicator of cardiovascular risk, preliminary Phase 2 results that support this molecule’s approach of addressing what is becoming a competitive inflammation target for heart disease. The data readout also starts the clock on negotiations with a big…
How propensity-to-pay models help healthcare providers improve collections
Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that utilize machine learning and robust data offer insight into a patient’s likelihood to pay and allow staff to focus their collections efforts where they matter most. In 2024, Experian Health clients that implemented Collections Optimization…
Guide to the Top Accredited Health Care Training Programs in the NYC Metro Area
Health care education in NYC is evolving fast, blending advanced technology with patient-centered learning. With demand for skilled professionals soaring, accredited programs ensure high standards, employability and real-world experience. This guide explores the top accredited health care training programs in the NYC metro area, highlighting their unique advantages and what sets them apart in a…
Q&A: How AI innovation is transforming healthcare revenue cycle management
Healthcare organizations are facing a perfect storm: rising claim denials, evolving payer rules, and patients expecting providers to reduce error rates that impact patient billing accuracy. Artificial intelligence (AI) has raised the stakes, causing revenue cycle leaders to feel the pressure to modernize quickly. According to Experian Health’s State of Claims 2025 survey, 73% of…
Shirley Ryan AbilityLab Earns New Joint Commission Sustainability Award
Shirley Ryan AbilityLab Earns New Joint Commission Sustainability Award With support from Compass One Healthcare, Shirley Ryan AbilityLab has reached another milestone in its commitment to environmental stewardship. The Chicago-based rehabilitation hospital, renowned for treating patients with stroke, spinal cord, and brain injuries, has earned The Joint Commission’s new Sustainability Healthcare Certification. It is the…
New Hampshire’s Leading ABA Therapy Centers: A Comparison
Positive reinforcement activities are some of the best for kids with autism spectrum disorder (ASD). Experts at applied behavior analysis (ABA) facilities create therapy plans for families seeking support. Health care professionals can learn more about the top-rated ABA therapy providers in New Hampshire to understand where their patients can get help from industry leaders….
State of Claims 2025: The denial problem (and is AI the answer?)
Key takeaways: Experian Health’s State of Claims 2025 report is out now, detailing providers’ views on claims management and how these have changed since the survey began in 2022. Claim denials are still on the rise, causing providers to find faster and more efficient ways to submit clean claims the first time. When it comes…