The Latest

When a cyberattack shuts down billing systems, accounts receivable can spike overnight — jeopardizing financial stability and delaying reimbursement for weeks. After the Change Healthcare outage in early 2024, many hospitals faced exactly this scenario. In this timely panel hosted…

CMS’ Interoperability and Prior Authorization Final Rule (CMS-0057-F) outlines the path toward industry-wide electronic prior authorization, but real-world implementation remains fragmented — even among early adopters. From investment hesitancy to misaligned workflows to gaps in CMS provisions, health systems and…

Price transparency mandates have introduced an unprecedented volume of data — but turning that data into actionable strategy remains a challenge. Health systems and payers alike are still navigating how to translate pricing insights into stronger contract terms, smarter network…

As ASCs face increasing reimbursement complexity — from payer contracts to multi-method payment models — understanding how to optimize managed care contracting has become critical to financial stability. Without a clear understanding of how payer terms dictate claim workflows, ASCs…

Health systems are increasingly turning to ambient AI to ease documentation burden. But too often, these tools stop at transcribing physician-patient conversations. Some solutions fail to integrate into clinical workflows. Others are designed solely for physicians, overlooking nurses and allied…