AI is valuable for healthcare operations, so it needs to be applied thoughtfully and with humans in the loop. Here's why experience matters more than algorithms, and how to apply both meaningfully.
Payment integrity hasn’t always strengthened provider relationships. The difference between friction and trust often comes down to timing. Explore how proactive payment integrity strategies are changing the equation.
Legal and compliance are often seen as roadblocks, but they don't have to be. Learn how including legal at the start can reduce delays and help healthcare payers adopt AI faster, with less risk.
COB recovery performance depends on when primary coverage is identified. Learn how pre-pay, pre-claim, and post-pay approaches impact cash flow, workload, and net value.
Automation is important, and it is growing increasingly useful in healthcare operations. However, automation does not replace healthcare experts. Discover how automation removes low-value work so experts can focus on what actually matters.
Healthcare leaders struggle to adopt new technology when disruption is treated as inevitable. Learn how to modernize operations without sacrificing performance.
Up to 60% of subrogation analyst communication effort is wasted, leading to missed recoveries and inflated administrative costs. Streamlining operations could cut workforce needs by up to 30% and transform payer return on investment.
With President Trump expected to announce a Medicare pilot program that enables Medicare CBD reimbursement for certain cannabidiol (CBD) treatments, we raise and track the questions that impact payers the most.