News
Rialtic and Exponential AI Announce Strategic Merger to Transform Healthcare Payment Accuracy and Decision Intelligence
1+ week, 5+ day ago (207+ words) Together, Rialtic and Exponential AI will offer one of the industry's most comprehensive suites of products for the claim lifecycle: By uniting these capabilities under one platform, the combined entity removes the friction, waste, and administrative drag that have long…...
Under Pressure: Why Pre-Bill Prevention is Now Non-Negotiable in Coding and Denial Management
2+ week, 4+ day ago (552+ words) The following is a guest article by Ritesh Ramesh, CEO at MDaudit Healthcare organizations are operating in an environment defined by financial pressure, regulatory scrutiny, and rapid shifts in payer behavior. Leadership teams are expected to maintain financial stability, protect…...
The Hidden Compliance and Revenue Gap in Home Health: 3 Failures Costing Agencies Millions
1+ mon, 1+ week ago (443+ words) The following is a guest article by Matt Saucedo, Founder of'Client Care. pro Home health agencies are losing revenue they have already earned. Not from payer disputes or rate cuts, but from operational gaps that silently drain the bottom line....
Healthcare's Multi-Billion Dollar Fraud Problem Starts at the Front Door - And Face Tec is Closing It
1+ mon, 4+ week ago (442+ words) Healthcare has an identity crisis. Literally, not figuratively. The system bleeds billions in fraud every year. Duplicate records sit in databases like ticking time bombs. We treat patient matching as a back-office headache. It is actually a clinical imperative. The…...
Nuvem Rx Acquires par8o from R1 RCM, Strengthening its Specialty Care Coordination and 340 B Referral Capture Capabilities
3+ mon, 1+ week ago (124+ words) The Acquisition Connects Pharmacy and Referral Intelligence to Help Covered Entities Simplify Workflows, Expand Access, and Grow 340 B Savings For more information on how Nuvem Rx supports community health centers and safety-net providers, please visit nuvemrx. com. Nuvem Rx helps…...
Health Plan AI Has a Data Problem, and It's Costing CFOs More Than They Think
3+ mon, 2+ week ago (694+ words) The following is a guest article by Megan Schmidt, President Chief Executive Officer, Madaket Health plans are pouring capital into automation, analytics, and artificial intelligence, betting that smarter systems will lower administrative costs and improve operational performance. Yet a growing…...
Why America Needs a Healthcare Clearing Corporation
3+ mon, 3+ week ago (579+ words) The following is a guest article by Stuart Z. Goldstein What if the healthcare industry didn't have to support multiple disparate technology connections between health insurers and hospital providers? What if you could connect to one "super highway" of technology linking…...
The End of Manual Enrollment? Intelligent Automation Takes On First-Mile Insurance Data
3+ mon, 3+ week ago (523+ words) The following is a guest article by Deepak Singh, Chief Innovation Officer at Adeptia The "Creative" Excel Nightmare The frontline of this battle is enrollment. Despite the availability of sophisticated HRIS platforms, the industry still mostly runs on spreadsheets and…...
Logic Source Brings Purchase Optimization to Health Care
9+ mon, 1+ week ago (225+ words) Health care wastes money right and left on purchases, and needs efficiency more than ever, according to Dave Pennino, Founder and CEO at Logic Source. His company optimizes client spending on the 20-25% of revenue spent on indirect purchases or "goods…...
Rising Healthcare Prices and Administrative Cost Cutting " 2026 Health IT Predictions
4+ mon, 4+ week ago (402+ words) Check out our community's Rising Healthcare Prices and Administration Cost Cutting predictions: The result: routine care will suffer, with emergency departments becoming the de facto primary care home for families who can no longer afford traditional access points. By mid-year,…...