Health Care Payer Intelligence

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Health Plan Policy, Strategy, and Innovation News and Insights

(6 days ago) WEBStay informed on health payer trends, policies, and strategies. Dive into insights on health plan design and member experience.

https://healthpayerintelligence.com/

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Healthcare Analytics for Payers: A Roadmap

(5 days ago) WEBA Healthcare Payer Analytics Strategy: Build a Roadmap to Manage Risk. A roadmap will help the payer navigate their own way through a minefield of potential risks …

https://www.healthcatalyst.com/insights/healthcare-analytics-payers-roadmap

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How Payers Unlock Healthcare Efficiency Through the Power of APIs

(6 days ago) WEBFor payers that prioritize the needs of their members, providers, and internal staff, it is critical to capitalize on the potential of APIs to provide the necessary clarity, …

https://healthpayerintelligence.com/news/how-payers-unlock-healthcare-efficiency-through-the-power-of-apis

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Healthcare Analytics Healthcare McKinsey & Company

(7 days ago) WEBOur products are focused on four healthcare use cases: 1. Value-based Care. Improve delivery of high-quality, affordable care and optimize performance in value-based care contracts. By helping you understand …

https://www.mckinsey.com/industries/healthcare/how-we-help-clients/healthcare-analytics

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AI ushers in next-gen prior authorization in healthcare

(5 days ago) WEBArtificial intelligence—the simulation of human intelligence by machines—is rapidly becoming a key enabler for businesses to deliver consistent, high-quality, and efficient outcomes.Healthcare organizations …

https://www.mckinsey.com/industries/healthcare/our-insights/ai-ushers-in-next-gen-prior-authorization-in-healthcare

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Using AI to Streamline the Provider-Payer Relationship

(3 days ago) WEBTo address these problems, some providers and payers have turned to artificial intelligence (AI) and data analytics solutions to help streamline processes and …

https://healthitanalytics.com/features/using-ai-to-streamline-the-provider-payer-relationship

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Artificial intelligence in health care Deloitte Insights

(5 days ago) WEBExecutive summary. Artificial intelligence (AI) is already delivering on making aspects of health care more efficient. Over time it will likely be essential to supporting clinical and other applications that result in more …

https://www2.deloitte.com/us/en/insights/industry/health-care/artificial-intelligence-in-health-care.html

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Artificial intelligence in healthcare: transforming the practice of

(3 days ago) WEBArtificial intelligence (AI) is a powerful and disruptive area of computer science, with the potential to fundamentally transform the practice of medicine and the delivery of …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8285156/

Category:  Medicine Show Health

Measuring Primary Care Spending in the US by State

(Just Now) WEBThis figure shows primary spending as a percentage of total health care spending by payer type (Medicare Fee-for-Service, Medicare Advantage, Medicaid, or …

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2818721

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The Benefits of AI in Healthcare IBM

(7 days ago) WEBAccording to Statista, the artificial intelligence (AI) healthcare market, which is valued at $11 billion in 2021, is projected to be worth $187 billion in 2030.That …

https://www.ibm.com/think/insights/ai-healthcare-benefits

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ONC to provide grants for AI, behavioral health projects

(Just Now) WEBThe agency seeks projects that evaluate and improve healthcare data used by AI and accelerate the use of health IT products among mental healthcare providers. …

https://www.healthcaredive.com/news/onc-artificial-intelligence-behavioral-healthcare-grants/716064/

Category:  Mental health Show Health

Epic continued to outstrip EHR competitors in 2023: report

(2 days ago) WEBAcute care EHR purchasing was high last year, driven by large healthcare organizations that made the bulk of purchasing decisions, according to the Klas report. …

https://www.healthcaredive.com/news/epic-oracle-health-meditech-ehr-market-share-klas-research/716513/

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Cotiviti Client Conference Brings Together Health Plan Leaders to

(6 days ago) WEBCEO and President Emad Rizk, M.D. will deliver welcome keynote on overcoming current challenges that are driving increased healthcare costs. SALT LAKE CITY, UT, May 14, …

https://www.cotiviti.com/press-release/cotiviti-client-conference-2024-brings-together-health-plan-leaders

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Will AI Help Address Our Behavioral Health Crisis? AHA

(1 days ago) WEBArtificial intelligence (AI) is assisting some clinicians in the way they diagnose and provide therapy for behavioral health patients. The hope is that AI may be able to …

https://www.aha.org/aha-center-health-innovation-market-scan/2024-05-14-will-ai-help-address-our-behavioral-health-crisis

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The state-by-state impact of Ascension’s cyberattack Healthcare …

(2 days ago) WEBA general view of the Ascension St. Vincent's Riverside Hospital on March 14, 2020 in Jacksonville, Florida. Ascension experienced a cyberattack in May 2024 that …

https://www.healthcaredive.com/news/tracking-ascension-healthcare-cyberattack-impact/716327/

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Running head: SUPPLY CHAIN INTEGRATION OF MERGED …

(1 days ago) WEBcare, and boost their leverage with payers and vendors. The number of independent hospitals in New Jersey and across the country continues to wane. Nearly …

https://www.ahrmm.org/system/files/media/file/2020/09/Fellow%20Paper_Supply%20Chain%20Integration%20Of%20Merged%20And%20Acquired%20Entities_Killeen.pdf

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Health care groups: Regulate AI, but not too much - POLITICO

(9 days ago) WEBWHAT TOP TRADE GROUPS WANT ON AI — Many leading organizations across health care want the federal government to regulate artificial intelligence with a …

https://www.politico.com/newsletters/politico-pulse/2024/05/15/health-care-groups-regulate-ai-but-not-too-much-00157910

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Generative AI in healthcare: Emerging use for care McKinsey

(5 days ago) WEBHere’s how private payers and healthcare providers can begin. Use of gen AI by private payers, hospitals, and physician groups. In the near term, insurance …

https://www.mckinsey.com/industries/healthcare/our-insights/tackling-healthcares-biggest-burdens-with-generative-ai

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Share this article - PR Newswire

(1 days ago) WEBThis enables providers, payers, and life sciences companies to analyze, report on, and research outcomes, costs, treatments, and quality at any granularity and …

https://www.prnewswire.com/news-releases/cota-and-hackensack-meridian-health-announce-world-first-partnership-incorporating-complete-digital-map-of-cancer-into-epic-electronic-health-record-system-300401452.html

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DoJ forms task force on competition, monopolies in healthcare

(8 days ago) WEBThe HCMC team will look into “widespread competition concerns” brought on by patients, healthcare professionals, businesses and entrepreneurs, including issues …

https://revcycleintelligence.com/news/doj-forms-task-force-on-competition-monopolies-in-healthcare

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CEOs of Qualifacts and OPEN MINDS Join Forces to Discuss

(2 days ago) WEBOPEN MINDS is a national market intelligence, management consulting, and marketing services firm specializing exclusively in the markets of the health and human …

https://www.globenewswire.com/news-release/2024/05/14/2881254/0/en/CEOs-of-Qualifacts-and-OPEN-MINDS-Join-Forces-to-Discuss-the-Data-Driven-Future-of-Behavioral-Health.html

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Hospital operator Steward Health Care files for bankruptcy …

(4 days ago) WEBFILE - The Texas Capitol is viewed from its south side on Wednesday, Jan. 5, 2005, in Austin, Texas. Financially embattled hospital operator Steward Health Care …

https://apnews.com/article/steward-health-care-massachusetts-bankruptcy-dddb6acbc19cea9f914d378c7aaf2cec

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Single-payer healthcare meets its fate again amid California …

(6 days ago) WEBThe latest attempt to bring a single-payer healthcare system to California failed in the state Legislature on Thursday, undercut by its steep price tag as lawmakers …

https://www.latimes.com/california/story/2024-05-16/single-payer-healthcare-meets-its-fate-again-in-the-face-of-californias-massive-budget-deficit

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Search Payer List by Name, ID, & Transaction Type Office Ally

(6 days ago) WEBProfessional Claims. 837P. View note. AMVI Medical Group. PROSP. Institutional Claims. 837I. View note. Quickly search for insurance payer IDs with Office Ally's easy-to-use …

https://cms.officeally.com/payerlist

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MOAA - Using TRICARE For Life Overseas

(9 days ago) WEBFor those enrolled in Medicare Parts A and B traveling in the U.S. or its territories, Medicare remains your primary payer and TRICARE for Life still acts a …

https://www.moaa.org/content/publications-and-media/news-articles/2024-news-articles/health-care-and-earned-benefits/using-tricare-for-life-overseas/

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2024 Payer Strategies: Population-Based Plans, MA Differentiation

(4 days ago) WEBIn 2024, payer strategies will include improving health equity partnerships, differentiating their Medicare Advantage plans, and offering care navigation. January 02, 2024 - The …

https://healthpayerintelligence.com/news/2024-payer-strategies-population-based-plans-ma-differentiation

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Clover Provider Quick Reference Guide - Clover Health

(2 days ago) WEBInterconnect via Change Healthcare (formerly known as Emdeon). Payer ID#: 77023 TTY Access: 711 Mailing Address for Appeals & Grievances or Medical Management: Clover …

https://cdn.cloverhealth.com/filer_public/f2/37/f23723f0-8a62-41f5-936e-8fe3ec15be90/provider_quickreference_guide_v02.pdf

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Bill to regulate psychedelics fails in California Legislature - Los

(Just Now) WEBArtificial Intelligence; Autos; Jobs, Labor & Workplace rather than allowing people seeking mental health care to get psychedelic drugs from their existing …

https://www.latimes.com/california/story/2024-05-16/psychedelics-law-fails-again

Category:  Mental health Show Health

Healthcare Payers News and Resources for Healthcare

(7 days ago) WEBHealthcare Payers UnitedHealth Group lost $1.4B in Q1 2024 following cyberattack April 18, 2024 - UnitedHealth Group experienced a $1.4 billion net loss in …

https://healthpayerintelligence.com/tag/healthcare-payers

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California makes $3.3 billion available for mental health beds - Los

(7 days ago) WEBSingle-payer healthcare meets its fate again in the face of California’s massive budget deficit California Secret FBI files allege former L.A. city attorney lied to feds, …

https://www.latimes.com/california/story/2024-05-14/california-3-3-billion-available-for-mental-health-beds

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Top Payer Concerns, Opportunities Around Generative AI Integration

(Just Now) WEBCare delivery transformation, clinical productivity measures, administrative simplification, and technology enablement could result in between $1 and 1.5 trillion in …

https://healthpayerintelligence.com/features/top-payer-concerns-opportunities-around-generative-ai-integration

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3 Ways That Payers Leveraged Artificial Intelligence in 2020

(1 days ago) WEBHowever, payers, providers, and vendors continue to enhance and specialize this technology to address healthcare challenges. In 2020, some payers …

https://healthpayerintelligence.com/news/3-ways-that-payers-leveraged-artificial-intelligence-in-2020

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