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Key takeaways: Manual work and disconnected claims management systems are often error-prone, resulting in delayed and denied claims. Technology, like automation and AI, can help healthcare organizations predict and prevent potential claims issues before submission. Implementing AI-powered claims management solutions should be a top priority for revenue cycle leaders. Healthcare claims denials are on the…
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…
Hospitals and health systems are being inundated with challenges, and one of the most significant is how to effectively and efficiently operate a clinical pharmacy. Some drug prices have doubled over the past ten years, while others have shown a rise of more than fifteen percent in a single year. Meanwhile, regulatory and compliance expectations…
Key takeaways: Billing mistakes and claims delays are common when providers rely on manual patient insurance verification processes. Automated patient insurance verification can speed up eligibility checks and ensure patient insurance and billing information is accurate. Claims denial rates go down and reimbursement rates go up when providers adopt real-time insurance eligibility technology. Patient insurance…
Key takeaways: Survey data shows that healthcare providers find it harder to secure reimbursement for their services. Automation, staff training and analytics are the keys to preventing denials, improving accuracy and streamlining every step of the claims process. Experian Health’s integrated claims management solutions are designed to close the claims gap and accelerate reimbursement. Claims…
At Compass One Healthcare, sustainable practices are embedded in everything we do. Once again, we’re proud to celebrate that many of our hospital partners have been recognized with 2025 Practice Greenhealth Environmental Excellence Awards, including honors like the Circles of Excellence, Greenhealth Emerald, and Partner for Change Awards. These awards are more than just recognition, they’re a reflection of…
In November, the Office of Management and Budget (OMB) indicated that the DEA may soon offer a fourth extension of telehealth e-prescribing flexibilities. For the last 5 years since the Covid PHE began, temporary extensions have been critical for patients prescribed controlled medications via telehealth and for whom in-person requirements create serious barriers to care…
Healthcare affordability has been a growing concern for years. As costs continue to shift to patients through rising premiums, coinsurance, and the widespread use of high-deductible health plans (HDHPs), more Americans are finding themselves underinsured and expected to pay thousands of dollars before their insurance kicks in. The recently passed Big Beautiful Bill will accelerate…
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Cancer care company Color Health is partnering with insurer Evry Health to enhance employer health plans with its cancer care services, according to a Wednesday announcement. Evry Health is a Texas-based insurer serving fully insured employers with 51 or more employees. Its plans have no traditional cost-sharing, including no co-pays and no deductibles, and provide…
