7+ hour, 55+ min 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…...

6+ day, 8+ hour 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…...

3+ week, 6+ day 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…...

4+ week, 4+ hour 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…...

1+ mon, 1+ week 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…...

2+ mon, 4+ day 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,…...

3+ mon, 3+ day 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…...

3+ mon, 2+ week ago  (250+ words) Payment integrity'the process of ensuring a medical bill is accurate before (or after) it is paid'has traditionally been a war of attrition. Health plans use rigid rules engines to deny claims, and providers use armies of staff to appeal them....

3+ mon, 3+ week ago  (270+ words) For decades, medical professional liability (malpractice) insurance has been a bastion of manual labor. Assessing the risk of a neurosurgeon versus a pediatrician involved stacks of paper, weeks of waiting, and human underwriters making subjective calls. The metrics suggest the…...

3+ mon, 3+ week ago  (518+ words) A new industry report from Homecare Homebase (HCHB) reveals a paradox at the heart of the sector. While demand is at historic highs11, 200 Americans turn 65 every dayaccess to care is shrinking. Referral conversion rates have plummeted 13% since 2018, resulting in 4. 2 million individuals…...