How predictive analytics and AI shed light on payer behavior
Providers and payers have become more collaborative as payment models evolve toward value. Still, payer-provider relationships can seem one-sided — decidedly in favor of the payer — as hospitals continue to face declining reimbursement and rising costs. The increase in denials is a great example, with rates skyrocketing by 20% over 5 years, according to…
Technology
Revamping prior authorization: How AI and automation could boost care and revenue
Prior authorization is the most time-consuming transaction for medical providers, taking up to an hour to complete manually. Find out how providers and health plans can save up to $417 million annually be automating prior authorizations.
Various technical challenges affect hospitals’ ability to fulfill public-health reporting obligations
A report issued by the federal government finds many hospitals struggling to exchange data electronically with public health agencies.
FBI issues alert about ransomware threat affecting healthcare organizations
The Conti ransomware attacks have disrupted healthcare networks in the U.S. and abroad, according to an alert.
‘History favors the bold’: The digital transformation mandate for the healthcare industry
Hospitals and health systems need to implement digital technologies and processes to keep up with societal and industry changes, according to a featured presentation at HFMA’s Digital Annual Conference.
Major insurers roll back no-cost sharing telehealth services
HFMA's Chad Mulvany says patients who received a surprise bill for a telehealth visit will likely blame the provider.
How investment in AI for healthcare organizations has changed due to the pandemic
A business focused on artificial intelligence (AI) in healthcare explains how COVID-19 has raised the bar in the utilization of AI and dives into the value of its use to be successful in a post-COVID future.
2020 Healthcare Corporate Services Report
A survey of provider executives about corporate services spending, expense reduction, and technology optimization trends.
What exactly is robotic process automation?
Today’s robots can be governed by business logic, structured inputs and artificial intelligence to manage complex processes and apply decision-making abilities.