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39% of hospitals lose money before federal policy shifts
1+ day, 8+ hour ago (486+ words) News » 39% of hospitals lose money before federal policy shifts ILLINOIS, UNITED STATES — Thirty-nine percent of United States hospitals were already losing money in 2023, before a new wave of Medicaid and marketplace funding cuts began taking effect, according to a report…...
Democrats' bill would cap Medicare out-of-pocket costs
1+ mon, 6+ day ago (425+ words) News » Democrats’ bill would cap Medicare out-of-pocket costs NEW YORK, UNITED STATES — Traditional Medicare is the only major American health program with no annual out-of-pocket spending limit — and a new Senate bill aims to close that gap. According to a…...
Healthcare fixing claims before they're paid, not after
1+ mon, 2+ week ago (422+ words) News » Healthcare fixing claims before they’re paid, not after NEVADA, UNITED STATES — Denied claims, rework, and appeals cost the United States healthcare system $400 billion annually — and the industry has largely responded by processing the damage after it happens. According to…...
Sagility acquires CareSeed to build end-to-end medicare advantage quality stack
1+ mon, 3+ week ago (378+ words) News » Sagility acquires CareSeed to build end-to-end medicare advantage quality stack GEORGIA, UNITED STATES — Sagility has acquired CareSeed, a Kansas City-based healthcare analytics company specializing in NCQA-certified HEDIS quality reporting, medical record review, chart abstraction, and regulatory analytics for United…...
U.S. Congress targets Medicare pay rules driving hospital consolidation
2+ mon, 2+ week ago (446+ words) Read the best outsourcing guides that help businesses save up to 70% Download the outsourcing toolkit – plus all the key resources you need News » U.S. Congress targets Medicare pay rules driving hospital consolidation WASHINGTON, UNITED STATES — Medicare physician pay has…...
CMS sets 2027 deadline as electronic prior auth pilot launches
2+ mon, 2+ week ago (373+ words) Read the best outsourcing guides that help businesses save up to 70% Download the outsourcing toolkit – plus all the key resources you need News » CMS sets 2027 deadline as electronic prior auth pilot launches MARYLAND, UNITED STATES — The Centers for Medicare & Medicaid…...
Hospital CEO blames labor, drugs for rising U.S. healthcare costs
3+ mon, 21+ hour ago (414+ words) Read the best outsourcing guides that help businesses save up to 70% Download the outsourcing toolkit – plus all the key resources you need Build your sales pipeline with marketing and sales solutions News » Hospital CEO blames labor, drugs for rising U....
Global healthcare BPO market to surpass $600bn by 2033: DMI
3+ mon, 2+ week ago (484+ words) Read the best outsourcing guides that help businesses save up to 70% Download the outsourcing toolkit – plus all the key resources you need Build your sales pipeline with marketing and sales solutions News » Global healthcare BPO market to surpass $600bn by 2033: DMI…...
U.S. hospitals turn to offshore RCM as margin pressure peaks
4+ mon, 1+ week ago (577+ words) Read the best outsourcing guides that help businesses save up to 70% Download the outsourcing toolkit – plus all the key resources you need Build your sales pipeline with marketing and sales solutions News » U.S. hospitals turn to offshore RCM as…...
U.S. healthcare costs spike after ACA subsidy expire: KFF survey
4+ mon, 1+ week ago (423+ words) Read the best outsourcing guides that help businesses save up to 70% Download the outsourcing toolkit – plus all the key resources you need Build your sales pipeline with marketing and sales solutions News » U.S. healthcare costs spike after ACA subsidy…...