5 steps to improving the claims adjudication process
“Is this claim valid? How much is our financial responsibility?” These are the two big questions payers want to answer when adjudicating healthcare claims. Huge […]
“Is this claim valid? How much is our financial responsibility?” These are the two big questions payers want to answer when adjudicating healthcare claims. Huge […]
COVID-19 provided an unexpected use case for patient portals. In a matter of weeks, the benefits of remote patient access were undeniable. Patient portals allowed […]
What You Should Know: – Annexus Health, Inc. has announced its Series B financing of $33 million, which was led by leading digital health growth […]
What You Should Know: – H1and Lokavant today announced an extensive data-and-analytics collaboration to bring enhanced automated intelligence to drug development – As part of […]
Consumer-centric digital technology struggled to disrupt healthcare as it had in other sectors – until the pandemic made it non-negotiable. Now, healthcare providers must double […]
Kristen Ballantine, VP of Government Relations at Gainwell For most patients, it has always been extremely difficult to their personal health and medical data electronically. […]
What You Should Know: – Today Geisinger Health Plan (GHP) and Cohere Health, a provider of utilization management (UM) technology, announced they are joining forces to streamline the prior authorization process for […]
Telehealth adoption has been a bumpy ride. Remote and virtual healthcare services struggled to gain traction pre-pandemic, only to become a life raft for safe […]
Failing to reach parity with the consumer experience in other service sectors is a major attrition risk for healthcare providers. Patients expect scheduling, registration and […]
What You Should Know: – Olive, the automation company creating the Internet of Healthcare, today launched its Autonomous Revenue Cycle (ARC), the company’s flagship Revenue Cycle […]
Jennifer Mathieu, director of government relations at the Academy of Managed Care Pharmacy (AMCP), tells us why the organisation backed the pre-approval information exchange (PIE) […]
Consumers are increasingly turning to digital channels such as online patient portals to streamline care management and communication with healthcare providers. Digital-first consumers and younger […]
Healthcare staffing shortages are patients’ biggest safety concern, according to a new study by ECRI. Pandemic pressures led many healthcare workers – clinical and non-clinical […]
The Health Resources and Services Administration (HRSA) recently ended its COVID-19 Uninsured Program (UIP), meaning that providers can no longer seek reimbursement for COVID-19 testing, […]
Earlier this year, Experian Health teamed up with PYMNTS to ask more than 2300 consumers about their digital healthcare habits. The results confirmed that consumers […]
When it comes to patient access, friction can lead to bad patient experiences. If patients can’t see a quick way to schedule a medical appointment […]
Charlie Lougheed, CEO & Founder, Axuall Axuall’s CEO & Founder, Charlie Lougheed shares why health administration teams should embrace the power of robotic process automation […]
What You Should Know: – Kelonia Therapeutics, a Boston-based biotech company focused on vivo gene delivery, launched with a $50 million in Series A funding […]
Healthcare’s digital transformation promises patients ever-growing choices in how to access, experience and pay for care. Providers know that opening their digital front door is […]
What You Should Know: – Physicians would make a different therapy choice for 33% of patients if medication access was not a factor, and physicians […]
Healthcare revenue cycle challenges exist at every stage of the patient journey, beginning with patient access and extending all the way through claims, billing, payment […]
Patient experience may not be the first consideration that comes to mind when you’re looking to improve revenue cycle management (RCM). However, a positive patient […]
Experian Health and PYMNTS recently collaborated to release a new report, “Accessing Healthcare: Easing Digital Frictions In The Patient Journey.” Getting care through digital channels became […]
Mike Serbinis, Co-Founder and CEO of League The COVID-19 pandemic feels like a once-in-a-lifetime event for those of us involved in healthcare, but the patterns […]
Mergers & Acquisitions (M&A) Activity OptimizeRx Acquires EvinceMed, a Specialty Drug Prescription Initiation Platform OptimizeRx, a provider of point-of-care technology solutions helping patients start and […]
Inflation is giving the cost of healthcare a run for its money. The Consumer Price Index rose by 7.9% year-over-year in February 2022, compared to […]
What You Should Know: – Today House Rx, a health technology platform that empowers oncology and rheumatology physician practices with medically integrated dispensing, announced they’ve secured […]
Tony Torti, SVP of Schedule360 at QGenda In today’s complex and fast-paced healthcare landscape, the benefits of rules-based nurse scheduling software are undeniable. First, consider […]
– UPMC, a Pittsburgh-based healthcare provider and insurer, announced it is expanding its strategic partnership with Kyruus to further optimize patient access. – UPMC has been […]
A recent survey by Experian Health* found that obtaining prior authorization for healthcare items and services remains one of the biggest administrative pain points for […]
What You Should Know:– GoodRx announced that it will acquire vitaCare Prescription Services, a tech-enabled pharmacy services platform that expands GoodRx’s offering to pharma manufacturers while improving patient […]
Clinical advances, consumer demand and payer pressure are driving growth in outpatient care, which continues to attract attention as a lower-risk, lower-cost revenue stream for […]
QR codes made an unexpected comeback during the pandemic. They offered a contactless gateway for individuals to check in to venues, log COVID-19 test results, […]
Jonathan Bingham – Janeiro Digital, CEO Interoperable data and IT systems in healthcare has long been an enigma – many have tried to tackle the […]
Traditional revenue cycle management strategies are on shaky ground. Time-consuming manual processes are struggling under the burden of increasing patient volumes and patient financial responsibility. […]
According to a recent survey by PYMNTS, many patients want digital healthcare management tools. 76% of survey respondents said they were “very” or “extremely” interested […]
The recent discovery of the Omicron variant has placed the world on high alert. As COVID-19 continues to transform and evolve, erupting as “new” pandemics […]
What You Should Know: – Improving patient access to medical services is a top priority for health system leaders in 2022, according to new research […]
Healthcare providers could be losing up to $265 billion each year on avoidable administration costs. A recent investigation by the Washington Post and McKinsey & […]
What You Should Know: – Ochsner Health in Louisiana, is simplifying patient access to care with Kyruus’ provider directory and enhanced search capabilities. – Patients […]
Traditionally, patient registration involves a stack of papers to be filled out in the waiting room. But what if contact information, demographic details, referral sources, […]
Erin Jospe, MD, Chief Medical Officer at Kyruus As we learn to equilibrate with COVID-19, we are collectively learning how to modulate our acceptance of […]
What You Should Know: – Luma Health, a provider of patient engagement technology raises $130M to unify, automate, and transform patients’ healthcare journey. Luma Health, a […]
John Kelly, Principal Business Advisor, Edifecs The healthcare industry is now closer than ever to its quest for true interoperable data exchange. July 1, 2021 […]
Today, there are more than 80 treatments in development for atopic dermatitis and psoriasis. The landscape is booming with treatment innovations. However, the rise in […]
Daniel Cidon, CTO, NextGate Since the beginning of healthcare’s digital revolution, organizations have been striving to achieve the Triple Aim of healthcare: better outcomes, lower […]
Randall Shafer, EVP and Head of Hospital Business at Firstsource Medical debt in the US has reached crisis proportions. According to a recent study published […]
The road to health technology assessments and payer submissions is paved with complexity. Pharma’s mission is simple: to minimize the time between regulatory approval and market access, ensuring in the […]
COVID-19 demonstrated the importance of robust supply chains and the dangers of an over reliance on overseas manufacturing. But can the Pharmaceutical Strategy for Europe […]
As payers and providers count down the days until the implementation of the No Surprises Act in January 2022, healthcare price transparency and billing remain […]
COVID-19 transformed the patient journey, and it’s clear when we evaluate every step. Data and technology gave patients the convenience, flexibility, and control to get […]
Healthcare consumers are increasingly turning to the internet to research their care options, and provider and payer websites are among their top choices for information, […]
Rising medical debt, now a staggering $140 billion, is the largest source of debt for American families. A large portion of this is a direct […]
Rising medical debt, now a staggering $140 billion, is the largest source of debt for American families. A large portion of this is a direct […]
This is the fourth in a series of blog posts that will highlight how the patient journey has evolved since the onset of COVID-19. In […]
What You Should Know: – Today Cerner announced the launch of Cerner RevElate™, the company’s go-forward patient accounting product that will bring new and enhanced capabilities […]
The delta variant is still surging – and flu season is about to begin. How can healthcare providers leverage innovative technologies to streamline care and […]
The rising popularity of virtual care seems to be extending itself into other areas of patient experience, including a re-energized consumer preference for digital self-scheduling. […]
There is a distinct difference between outstanding patient support programs and less effective programs. A defining characteristic of successful programs is the level of cross-functional […]
This is the second in a series of blog posts that will highlight how the patient journey has evolved since the onset of COVID-19. This series […]
In November 2020, Experian Health conducted a survey to capture consumer and provider attitudes regarding patient access. At the height of the pandemic, patients welcomed […]
COVID-19 changed every aspect of the patient journey – placing unprecedented demands on the healthcare system and accelerating the need for digital transformation industry-wide. Telehealth, […]
“93% of providers say creating a better patient experience remains a top priority, up 3% from last year.” – Experian Health’s State of Patient Access, […]
What You Should Know: – Salesforce launches care from anywhere, new innovations that help organizations get closer to their patients, members, and customers in an […]
What You Should Know: – Tegria, a Seattle-based healthcare technology, and services company, and Cedar, a New York City-based healthcare financial technology platform, announced the […]
Anup Lakare co-founder of Radix Health, Michele Perry CEO of Relatient and Arun Mohan co-founder and CEO of Radix Health (L to R) – Today, […]
It’s time to accelerate the pace of COVID-19 vaccinations. Healthcare experts are increasingly concerned about the rapid spread of the highly contagious delta variant, which […]
As the country strives to ramp up the pace of COVID-19 vaccinations, providers need to take new approaches to drive registration volume. Healthcare experts are […]
Consumer-led care hit its stride during the pandemic. COVID-19 unlocked healthcare’s digital front door, giving patients more control over how and when they schedule and […]
“The entire healthcare industry was turned upside down by the pandemic. Procedures were pushed back, insurance companies gave policy holders a lot of mixed information. […]
What You Should Know: – Today, Komodo Health announces the acquisition of Breakaway Partners to improve patient access to effective therapies. The acquisition brings together Komodo’s Healthcare Map and software suite […]
More than 40% of patients surveyed skipped medical care in the early months of the pandemic, according to a recent study by researchers at the […]
Will handshakes become a thing of the past? Will face masks become a regular feature of flu season? Will home-working remain popular, even after workplaces […]
Our panel discusses how pharma companies can ensure patients have access to life-saving drugs or those that significantly improve the quality of life as well […]
The first quarter of 2021 has been one of investor optimism as the vaccine rollout continues ahead of expectations and economic activity begins to accelerate in […]
What You Should Know: – Today, Deep Lens and Cardinal Health announced a strategic collaboration that will integrate Deep Lens’ AI-based clinical trial matching solution, […]
What You Should Know: – b.well Connected Health today announced a partnership with Mastercard to provide individuals a simpler and more secure way to prove their identity online […]
Kenya Smith, Healthcare Solution Marketing Manager at ABBYY AI technology is quickly evolving and already surpassing human decision-making in certain instances; sometimes, in ways, we […]
Many thought the end of COVID-19 was in sight with the availability of a vaccine, and while that is somewhat true, an entirely new set […]
You may also like: Supercharge your COVID-19 vaccine management plan with digital solutions “Experian Health’s ability to move quickly and adapt their self-service platform to […]
What You Should Know: – NeoGenomics, Inc., a provider of cancer-focused genetic testing services and global oncology contract research services announced it has reached an […]
Other blog posts in this series: Segmenting your patient population for the COVID-19 vaccine Engaging patient segments with convenient, secure scheduling solutions Authenticating portal access […]
Other blog posts in this series: Segmenting your patient population for the COVID-19 vaccine Engaging patient segments with convenient, secure scheduling solutions The patient portal […]
Take a poll of any healthcare facility’s visitors, and the majority will tell you they’d like to book appointments online. When Experian Health surveyed more […]
Rick Halton, Vice President of Marketing, Lumeon The COVID-19 pandemic made healthcare visits over video or phone the norm, likely turning telehealth into a permanent […]
Providers know they need to improve their digital front door to withstand the financial impact of COVID-19, but change can feel risky, especially with so […]
The urgency to move quickly and vaccinate the population has introduced an entirely new set of challenges for providers regarding patient identity. Many continue to […]
Read the previous blog post in this Q&A series on segmenting patient populations for the COVID-19 vaccine. There are a lot of unknowns in the […]
How has the pandemic affected consumer attitudes around patient access? What do consumers want when it comes to accessing care? These are the questions providers […]
Register now http://bit.ly/IQVIAFeb2021-blog The COVID-19 pandemic has disrupted many aspects of life on a global scale. As disruptions often do, it also has accelerated the […]
The number of urgent care facilities in the United States has topped 9,000 as of November 2019. The popularity of both urgent care centers and […]
Minal Patel, CEO of Abacus Insights Laurent Rotival, SVP, Strategic Technology Solutions & CIO, Cambia Solutions We are all frustrated when there’s a glitch with […]
If President Biden’s two trillion-dollar stimulus package is approved by Congress, support will include funding for a national vaccination program. While the arrival of the […]
What You Should Know: – Epic was named the top Overall Software Suite for the eleventh consecutive year in the Best in KLAS 2021 Software & Services report, released […]
Previously viewed as a ‘nice to have’ for the pharma industry, virtual trials were already moving from a theoretical to a practical proposition before COVID-19 […]
Consumers today want more flexible and convenient access to care, preferably through the self-service experience they are accustomed to in other areas of their lives. […]
Paula Muto, MD, FACSFounder and CEO, UBERDOC, Inc. We are at a watershed moment. The COVID-19 pandemic has forced us to reevaluate our priorities both […]
Heidi Sveistrup, CEO at Bruyère Research Institute Elza Seregelyi, Director at L-SPARK The Internet of Medical Things (IoMT) is changing the face of healthcare and […]
Experian Health products referenced in this blog post: Patient Engagement Solutions Patient Scheduling Precise ID Patient Payment Estimates Patient Payment Solutions To access more insights […]
What You Should Know: – Nuance Communications, Inc. launched an AI-powered patient engagement virtual assistant platform to transform omnichannel digital experiences for patients. – Healthcare […]
It is estimated that 30-50% of denied claims occur on the front end during the patient access process, namely during registration, authorization and eligibility. Unfortunately, […]
Teladoc Health and Livongo Merge The combination of Teladoc Health and Livongo creates a global leader in consumer-centered virtual care. The combined company is positioned […]
As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General […]
What You Should Know: – Kyruus is acquiring HealthSparq from Cambia Health Solutions, a family of more than 20 companies working to make healthcare more […]
It’s been almost an entire year since COVID-19 changed life as we know it. The good news? A vaccine has finally arrived and is currently […]
Scheduling an appointment shouldn’t be complicated. Yet too often, patients are left to figure out their next move alone, with just a single phone number […]
What You Should Know: – LeanTaaS raises $130 million in Series D Funding to strengthen its machine learning platform to continue helping hospitals achieve operational […]
There is no question that providers’ bottom line has been hit hard this year, and a new surge in COVID-19 is bound to threaten hospital […]
Dr. Pallabi Sanyal-Dey, Associate Professor of Medicine at UCSF & Director of Client Services at LeanTaaS Since the beginning of the COVID-19 pandemic, key elements […]
As 2020 draws to a close and headlines hint that the end might finally be in sight for the pandemic, the healthcare industry is considering […]
Shanti Wilson, Consultant, Freed Associates As if 2020 couldn’t be any more challenging for healthcare providers, new federal rules on interoperability and patient access, granting patients […]
What You Should Know: – On the heels of $225.5 million dollars in funding and a $1.5B valuation this week, Olive today announced its acquisition […]
What You Should Know: – CarepathRx will acquire the University of Pittsburgh Medical Center’s pharmacy operations in a $400M deal. – The company fully integrates […]
Elizabeth Bierbower, Former President of Humana’s Group & Specialty Division Healthcare can achieve optimum efficiency when patients are at the center of care. When patients […]
What You Should Know: – Nuance announced that it’s planning to sell two sections of its healthcare business – Health Information Management (HIM) and Electronic […]
The manual process for fielding scheduling calls isn’t an easy one. Calls can take up to 20 minutes, and call center agents may have to […]
Matt Dickson, VP, Product, Strategy, and Communication Solutions at Stericycle COVID-19 terms such as quarantine, flatten the curve, social distance, and personal protective equipment (PPE) […]
Visits to emergency departments (ED) dropped by 42% in the early months of COVID-19, according to the CDC. In pre-pandemic times, this might have been […]
What You Should Know: – Innovaccer launches member engagement solution for healthcare payers to drive improvement in healthcare cost and quality boosts member satisfaction and […]
What You Should Know: – Cohere Health partners with health insurer Humana to modernize the prior authorization process for musculoskeletal treatment across 12 states. – […]
A consumer-first healthcare revolution has been simmering for years. Despite efforts to create more human-friendly services, the industry still lags behind other consumer-centric sectors. Patients […]
What You Should Know: – CommonWell Health Alliance enables payer access with the addition of a new service provider, DataFile Exchange to support the […]
“It’s important to provide our patients with the absolute best access channels to quickly and seamlessly connect with the care they need. Experian Health’s solution […]
In previous winters, anyone struck by a sore throat or fever might assume they had flu, and head to bed with a hot drink and […]
Before working with Experian Health, call center operations at Sanford Health were disparate and disjointed, with each call center operating on a different phone system […]
Finding previously unidentified insurance coverage can feel a little like a game of hide and seek. Patients may not always be aware of their insurance […]
Four in ten Americans live with multiple chronic conditions. For these individuals, life is punctuated with physician appointments, visits to the pharmacy and referrals to […]
Products referenced in this article: Social Determinants of Health Patient Schedule Member Match Coverage Discovery Patient Financial Advisor Patient Payment Solutions With just a few […]
Few of us would buy a new car or TV without checking the price tag first. Why should our healthcare be any different? Yet this […]
Despite the majority of elective procedures being up and running again, patients are still keeping their distance. Nearly half of Americans say they or a […]
The rates for closing gaps in care are some of the most widely used, quantitative metrics to measure quality, allocate incentives, and control costs. Unfortunately, […]
The age of consumerism has been a catalyst in the shift towards patient-centered care, driving hospitals and health systems across the board to evaluate and […]
Bill Krause, VP and GM, Digital Experience and Consumer Engagement at Change Healthcare With the rise of healthcare consumerism, people are looking to hospitals, health […]
Imagine if every time you wanted to sign up to buy groceries online, book a vacation, or apply for a job, you had to fill […]
No thanks to COVID-19 and the subsequent delay of elective procedures, many healthcare providers today are struggling to ensure their patient populations are getting the […]
Download our free eBook to find out how digital health solutions can help your organization improve the patient journey now and beyond COVID-19. You can also […]
What You Should Know: – T2 Tech Group, a Los-Angeles based leading IT consulting, advisory, and project management services provider, has just acquired the patient […]
Financial recovery after COVID-19 is likely to be a slow burn for most healthcare organizations, according to a recent survey. Nearly 90% of healthcare executives […]
Many patients today are forced to call the doctor to schedule an appointment. These phone calls are often inconvenient: patients are required to call during […]
Jay Desai, CEO & Co-Founder, PatientPing As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety […]
With a vaccine for COVID-19 thought to be at least a year away, healthcare providers are steeling themselves for even more cases in the fall. […]
With a vaccine for COVID-19 thought to be at least a year away, healthcare providers are steeling themselves for even more cases in the fall. […]
What You Should Know: – BJC HealthCare has signed an agreement with patient payment platform Patientco to offer a seamless patient financial experience, helping patients navigate their medical expenses and pay their bills. […]
David Shelton, PatientMatters CEO In the past few months, the COVID-19 pandemic has shaken societies, economies, and human wellbeing to the core. While protecting public […]
“Precise ID satisfies both your security officer and your groups who are dealing with patient efficiency and happiness.”— Kevin Romero, Director of Clinical Systems, AdvantageCare […]
For many healthcare consumers, visiting patient portals to check medical records, schedule appointments, renew prescriptions and pay bills is a no-brainer. Accessible from multiple devices […]
Sponsored by Covance Watch now Technology is often touted as a silver bullet, but often the promise falls short of the unrealistic expectation of a […]
With COVID-19 leading to postponed and cancelled medical appointments, more consumers are turning to “contactless care”. Recent figures suggest telehealth adoption has shot up from […]
Consumers today expect fast and convenient access to almost everything, healthcare included. While still only offered by a fraction of healthcare providers out there, online […]
COVID-19 has changed the way millions of Americans access care during COVID-19, leading to the widespread adoption of virtual health and other consumer-centric technologies. Without […]
Patients today expect digital capabilities from their provider and will increasingly choose those who offer digital capabilities. Knowing this, many providers have been working to […]
From airlines to cafés to car manufacturers, businesses across America are scrambling to respond to the challenge of COVID-19. In healthcare, services are being put […]
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