10+ hour, 12+ min ago  (653+ words) The price shock from soaring 2026 ACA (Affordable Care Act) premiums is reshaping how Americans think about and shop for their health coverage. This environment creates an opportunity for provider-sponsored health plans (PSHPs) to step in and deliver more patient-focused care…...

3+ week, 13+ hour ago  (255+ words) Hospital finance leaders don't need a report to tell them things are difficult, but the American Hospital Association's latest "Costs of Caring" report does something extremely useful: it puts concrete numbers behind pressures that have been building for years and…...

1+ mon, 1+ day ago  (601+ words) When Congress enacted the No Surprises Act (NSA), the primary objective was straightforward: protect patients from unexpected out-of-network medical bills. Since implementation in 2022, however, the law has created a complex framework for resolving payment disputes between providers and payors through…...

1+ mon, 2+ week ago  (160+ words) The core value of Surescripts" updated infrastructure lies in its ability to transition prior authorization from a reactive, retrospective scramble into a seamless, electronic "system of action" executed at the point of care. When the clinical documentation matches the pre-established…...

1+ mon, 3+ week ago  (202+ words) What You Should Know Abhinav Shashank, CEO and Co-Founder of Innovaccer, notes that this shift signals a growing understanding that the data foundation must come first. Organizations that successfully unify siloed data will be best positioned to move across risk…...

2+ mon, 2+ week ago  (505+ words) HIT Consultant Strata 2026 Report: U. S. Healthcare Finance Leaders Pivot from Volatile Recovery to Strict Operational Discipline What You Should Know - Government funding and Medicaid cuts have surged to the top of the executive agenda, cited by 66% of healthcare finance leaders as…...

2+ mon, 2+ week ago  (316+ words) HIT Consultant Real-Time Verification: How Covered California is Using Google's Document AI to Fix Health Insurance Enrollment What You Should Know - The Partnership: Covered California is expanding its partnership with Google Public Sector and Deloitte to overhaul Cal HEERS, the…...

3+ mon, 8+ hour ago  (171+ words) J. D. Power 2026 U. S. Healthcare Digital Experience Study Ranks Cigna and UPMC Highest Over the last five years, national health insurers have poured billions of dollars into building the ultimate "digital front door." They launched sleek mobile apps designed to help members check…...

3+ mon, 3+ week ago  (345+ words) Employers spend a fortune on health insurance. Health benefits are often their second-largest expense after payroll. Yet employers often make these purchases without knowing how their health plans function when employees need care." Health insurance differs from other major purchases,…...

4+ mon, 2+ week ago  (177+ words) HIT Consultant What You Should Know - The Deal: Innovative Consulting Group (ICG), a portfolio company of SV Health Investors, has acquired Pivot Point Consulting. Pivot Point was divested from Highspring to facilitate the transaction. Financial details of the acquisiton were…...