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Challenge: Manual authorizations couldn’t scale with demand Manual workflows were no match for MetroHealth’s growing prior authorization demands. With more than 300,000 patients coming through the doors each year, staff at the MetroHealth system spent their days manually chasing requests and approvals through phone calls and payer portals. Without a reliable way to track approvals,…
Pharmacy providers are increasingly moving into the infusion space – either standing up ambulatory infusion suites (“AIS”) or proving home infusion delivery models – despite unclear licensure requirements. While this space heats up given the significant market growth potential, providers need to monitor regulation developments as different states have begun issuing related guidance. And, as…
Socktober Shatters Records Again! “Socktober” continues to be a celebrated and engaging campaign for Compass One Healthcare associates across the country. This year, we’re proud to share that we not only met, but exceeded, our goals by collecting and donating more than 300,000 pairs of socks to charities nationwide. Crothall teams played a major role in this year’s effort, with more…
Employers spend enormous amounts each year on chronic condition management. Yet behind most of those costs lies a single, connected issue: poor metabolic health. Six in 10 Americans live with at least one chronic disease, and four in 10 manage two or more. Together, they account for nearly 90% of the nation’s $4.5 trillion annual…
Few diseases touch as many lives as Alzheimer’s disease. For too long, the diagnosis has been seen as a devastating verdict leading to inevitable decline, leaving little time for treatment, and as placing a heavy burden on families. This sense of futility has discouraged both patients and physicians from pursuing testing until symptoms are undeniable….
Every year, Cedar brings together a group of senior healthcare finance leaders for our Financial Leadership Council — a unique community where some of the most experienced CFOs and revenue cycle executives in the country come together to speak honestly about what’s working, what’s breaking, and what comes next. This year, we convened nearly 50…
Codoxo, an AI-powered payment integrity solutions company, has secured $35 million in Series C funding led by CVS Health Ventures, the company announced on Wednesday. Atlanta, Georgia-based Codoxo is focused on identifying and preventing payment errors before claims are submitted, or in other words, at “Point Zero.” Its platform offers insights to providers to help…
Medicare open enrollment is in full swing and big changes are on the way in 2026 for providers – from physician fee schedules to a pilot test of prior authorization requirements in some states. With that in mind, here are some things providers should consider when it comes to Medicare. 1. Changes to reimbursements. Reimbursements…
Many older adults seek to do one thing as they advance in age: spend their later years in a familiar and comfortable environment — in their own home. This is an important goal, and it highlights a strong preference for maintaining independence and familiar surroundings rather than transitioning to assisted living facilities or nursing homes….
Clinicians today are busier than ever, with 69% of care providers seeing more patients now than they did two years ago. This influx in demand can lead to shorter visits with each patient, as a recent report found that over a quarter of clinicians feel they do not have sufficient time to provide quality care….
