Ionis Pharma’s Drug for Rare Disease With No Approved Therapies Meets Goals of Pivotal Study

Patients who have a particular genetic disease whose symptoms include progressively worsening muscle control were able to walk faster following treatment with an experimental Ionis Pharmaceuticals genetic medicine, meeting the main goal of a pivotal study. Based on these results, the drugmaker said it plans a regulatory submission for what could become the first FDA-approved…

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What is revenue cycle optimization: examples & strategies

At A Glance Modern revenue cycle optimization leverages artificial intelligence (AI) and automation to help healthcare organizations capture revenue and maintain a healthy cash flow. This article outlines proven strategies for streamlining operations across the revenue cycle — from patient access and collections to claims and payer contract management. Key takeaways: Revenue cycle optimization improves…

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How OhioHealth cut denials by 42% with Patient Access Curator and solved claim errors at the source

“Registrars used to wonder, ‘Do I run Coordination of Benefits? Which insurance is primary?’ Now Patient Access Curator does all that work and removes the guess work, and it does it in under 20 seconds.” Randy Gabel, Senior Director of Revenue Cycle at OhioHealth Challenge OhioHealth faced rising denial rates and inconsistent insurance discovery. Registrars…

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How do predictive analytics improve propensity-to-pay scores in healthcare RCM?

At A Glance Propensity-to-pay models use predictive analytics to help healthcare organizations understand patient payment behavior. Learn how providers can leverage these tools to prioritize collections, improve cash flow and reduce bad debt. Key takeaways: Providers are facing increasing bad debt levels and a sharp decline in patient collection rates. Propensity-to-pay models use predictive analytics…

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What are the benefits of automated vs. manual prior authorization software?

At A Glance Automated prior authorization solutions streamline workflows, simplify management across payer systems and offer advanced features to reduce manual effort — helping providers minimize denials and improve overall efficiency. Key takeaways: Prior authorization is a process used by providers and payers to determine if a patient’s insurer will cover a specific treatment before…

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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…

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