Health Payer Intelligence Reputation

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Health Plan Policy, Strategy, and Innovation News and Insights

(6 days ago) WebElevance Health’s Medicaid plan in Nevada helped improve housing stability through housing interventions and financial assistance, according to a report from the payer. Housing instability, such

https://healthpayerintelligence.com/

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Digital health ecosystems: A payer perspective McKinsey

(5 days ago) WebA payer orchestrating a digital health ecosystem needs to decide on a range of governance issues, including entry and exit criteria, capital structure, voting and data access rights, and community …

https://www.mckinsey.com/industries/healthcare/our-insights/digital-health-ecosystems-a-payer-perspective

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Artificial Intelligence (AI) in Health Insurance Accenture

(2 days ago) WebUsing artificial intelligence (AI) to impact capability, culture and change, the Intelligent Payer can retain and attract talent, redefine traditional work and source innovation – and can increase operating income by 10-15% in 18 …

https://www.accenture.com/us-en/services/health/intelligent-health-payer

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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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With Proper Use, Artificial Intelligence Improves Health Plan …

(6 days ago) WebWhen artificial intelligence is used correctly, it can help plans improve patient outcomes and reduce administrative costs. With lower administrative costs, health plans …

https://healthpayerintelligence.com/features/with-proper-use-artificial-intelligence-improves-health-plan-operations

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HealthPayerIntelligence LinkedIn

(7 days ago) Webhealth insurance, health payer, value-based care, Healthcare Insurance News, and Value-Based Contracting Updates HealthPayerIntelligence 378 followers 2w Report this post

https://www.linkedin.com/showcase/healthpayerintelligence

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Value-Based Care in 2024: Navigating Trends, and Challenges

(2 days ago) WebAccording to a May 2023 Healthcare Payer Intelligence report, CMS recently reported successfully linking 90% of payments to value, and 40% of all …

https://healthedge.com/resources/blog/healthedge-horizons-value-based-care-in-2024

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AHIP shares how enrollment in Medicare Supplement coverage …

(1 days ago) WebThe share of Medicare fee-for-service beneficiaries with Medicare Supplement coverage grew from 35.4 percent in 2017 to 41.4 percent in 2022, an AHIP report found.

https://healthpayerintelligence.com/news/ahip-shares-how-enrollment-in-medicare-supplement-coverage-has-evolved

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News Archive for December 2020 - HealthPayerIntelligence

(3 days ago) WebPrivate Payer Spending Hits $1.2T in 2019 As Spending Growth Slows. Payer Gross Margins, Medical Loss Ratios Point to a Profitable 2020. Payers Will Improve Virtual …

https://healthpayerintelligence.com/news/archive/2020

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How do Medicare Advantage insurers craft population-specific …

(8 days ago) WebApril 30, 2024 - As the healthcare industry strives to be more equitable, stakeholders should prioritize population health management. Population health initiatives focus on …

https://healthpayerintelligence.com/features/how-do-medicare-advantage-insurers-craft-population-specific-health-plans

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Employers want cost-effective partners for contracted healthcare …

(4 days ago) WebThe Employer-Sponsored Healthcare Services 2024 report highlighted how employers and unions feel about the employer-sponsored healthcare services market …

https://healthpayerintelligence.com/news/employers-want-cost-effective-partners-for-contracted-healthcare-services

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Payer trends health systems should watch closely in 2024

(7 days ago) WebAccording to data from the National Association of Insurance Commissioners, health insurers’ profit margins fell to 3.3% in the second quarter of …

https://www.hfma.org/cost-effectiveness-of-health/payer-trends-health-systems-should-watch-closely-in-2024/

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HealthPayerIntelligence: At-Home Testing Coverage for Medicare

(8 days ago) Webby Kelsey Waddill, HealthPayerIntelligence. In the first quarter of 2022, payers witnessed significant changes in at-home coronavirus testing coverage with …

https://achp.org/clip-healthpayerintelligence-at-home-testing-coverage-for-medicare-beneficiaries/

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CVS Health acquires Hella+Health amid Medicare Advantage …

(5 days ago) WebHowever, the payer saw its total revenues for the Health Care Benefits segment increase, in part due to Medicare growth. Aetna Medicare Advantage plan …

https://healthpayerintelligence.com/news/cvs-health-acquires-hellahealth-amid-medicare-advantage-troubles

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Elevance Health Medicaid plan improves housing stability for NV

(8 days ago) WebApril 29, 2024 - Elevance Health’s Medicaid plan in Nevada helped improve housing stability through housing interventions and financial assistance, according to a report from the …

https://healthpayerintelligence.com/news/elevance-health-medicaid-plan-improves-housing-stability-for-nv-beneficiaries

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FACT SHEET: DHS Facilitates the Safe and Responsible …

(3 days ago) WebFinally, the report offers recommendations to mitigate potential threats to national security by overseeing the training, deployment, publication, and use of AI …

https://www.dhs.gov/news/2024/04/29/fact-sheet-dhs-facilitates-safe-and-responsible-deployment-and-use-artificial

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Biden-Harris Administration Announces Key AI Actions 180 Days …

(6 days ago) WebSix months ago, President Biden issued a landmark Executive Order to ensure that America leads the way in seizing the promise and managing the risks of …

https://www.whitehouse.gov/briefing-room/statements-releases/2024/04/29/biden-harris-administration-announces-key-ai-actions-180-days-following-president-bidens-landmark-executive-order/

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) Web• Submit all electronic claims to the Horizon NJ Health EDI Payer Number 22326. SimpleClaim system. In order to send claims electronically to Horizon NJ Health, a …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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HHS final rule boosts ACA coverage access for DACA recipients

(2 days ago) WebCMS estimates that 100,000 previously uninsured DACA recipients could gain healthcare coverage through the marketplace or a BHP following this rule’s finalization. …

https://healthpayerintelligence.com/news/hhs-final-rule-boosts-aca-coverage-access-for-daca-recipients

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Reed Smith Names Richard Robbins First Director of Applied AI

(3 days ago) WebRichard Robbins has been appointed Reed Smith’s first director of applied artificial intelligence, the firm said Tuesday.. He will lead the development of generative …

https://news.bloomberglaw.com/business-and-practice/reed-smith-names-richard-robbins-first-director-of-applied-ai

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Payer ID Payer Name Comments - ABILITY Network

(2 days ago) WebPayer ID Payer Name Comments. 13378 Guardian Life Insurance Company of America – Dental 13344 Harken Health 11685 Harmony Health Plan 10316 Harvard …

https://www.abilitynetwork.com/wp-content/uploads/2019/11/November_EligibilityPayer_List.pdf

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AI watch: The latest on artificial intelligence in food

(3 days ago) WebMitigating the risk of extinction from artificial intelligence should be a global priority alongside other societal-scale risks such as pandemics and nuclear war. This is …

https://www.foodnavigator.com/Article/2024/05/07/ai-watch-the-latest-on-artificial-intelligence-in-food

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AI-Centered IPOs Will Face New Legal and Regulatory Challenges

(4 days ago) WebCompanies that use artificial intelligence markup language face additional risks. The legal and regulatory environments around AIML are changing quickly. …

https://news.bloomberglaw.com/us-law-week/ai-centered-ipos-will-face-new-legal-and-regulatory-challenges

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