Payment integrity teams are being asked to do more with more complexity, more data and less room for error. The opportunity is not to replace existing workflows. It is to make them smarter. AI can help health plans act earlier,…
On Demand
Presented by:
Arun Rangamani
Senior Vice President, Payment Services, AI and Analytics Solutions and Services, EXL
William O’Neil
Vice President, Healthcare Solutions, EXL
New physicians are entering a healthcare landscape shaped by financial pressure, changing employment models and shifting expectations. From the appeal of employed positions to growing interest in shift-based work, five trends in particular have emerged in how early-career physicians choose…
Healthcare finance teams are navigating volatile reimbursement models, fluctuating census levels and persistent capital constraints. But many finance teams are still working across disconnected systems — where all of it rarely aligns. When workforce forecasts, patient demand and financial planning…
David Richardson
Regional Manager and Healthcare Specialist Prophix
Michael Ciprietti
Head of Platform Enablement Unify
Clinician Nexus, a healthcare technology company, has launched CM2, an AI-powered platform designed to manage physician compensation and replace manual spreadsheet-based processes. The platform is intended to help healthcare organizations move from reactive compensation management to a more proactive model…
In high-stakes environments, confidently held misinformation is a measurable risk. An employee can complete required training, pass a quiz and still lack the knowledge needed to perform safely under pressure. Microlearning improves access. Generative AI accelerates content creation. But neither…
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Over the last 20 years, the presence of independent practices in medicine has declined drastically as reimbursement rates fail to keep up with the rising cost of infrastructure and operations—and cardiology is no exception. In an analysis published March 11…
Atlanta-based Aveanna Healthcare Holdings has agreed to acquire Family First Holding the parent company of Family First Homecare, expanding its pediatric home care footprint. Family First Homecare operates 27 locations across seven states — Florida, Illinois, Iowa, Pennsylvania, South Dakota,…
Rising costs, specialty drug pressure and Medicare Advantage headwinds are making sustained medical loss ratio performance harder to achieve. At many health plans, risk, quality, network and value-based initiatives are still managed through disconnected analytics tools or spreadsheets. This fragmentation…
Presented by:
Trenor Williams, MD
CEO and Co-Founder, Socially Determined
Justin Neece
Chief Growth Officer, MedeAnalytics
Physicians are entering a new era of medical innovation as more organizations invest in robotics and other technology to support minimally invasive surgery and other clinical advancements. Here are five notable “firsts” in healthcare that were spearheaded by physicians in…
Minnesota’s House of Representatives passed HF3378 in a 107-27 vote March 12, which aims to grant lawmakers access to the full, unredacted Optum report on the state’s Medicaid program. Optum has been acting as a third-party auditor for Minnesota in…
