AI is no longer theoretical in revenue cycle operations. Healthcare organizations are already seeing measurable gains: faster payer payments, fewer denials and improved workforce efficiency. The challenge is knowing how to measure success. This whitepaper outlines the specific KPIs healthcare…
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Ambulatory organizations face tightening margins, staffing volatility and increasing regulatory scrutiny — all while patient expectations rise. Just staying compliant isn’t enough anymore. To grow sustainably, ASC leaders must build systems that drive engagement, elevate care and free up bandwidth…
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Musculoskeletal spend is a top driver of healthcare costs—but it’s also one of the few areas where plan-year savings are realistic when AI-care is applied early. New research shows that when members begin MSK care through an AI-enabled, virtual-first care…
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Medical loss ratios are crossing 90%, and traditional payment integrity models can’t keep up. Teams waste months digging through vast amounts of unstructured documents, including CMS guidelines, reimbursement policies, contracts, and coding manuals, only to generate rules that never yield…
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Houston-based Harris Health will consolidate its local primary care practices into another nearby medical facility, Houston Business Journal reported Dec. 31. The move will impact primary care practices in the Houston Heights neighborhood, according to the report. The site relocation…
Cincinatti-based The Christ Hospital Health Network has acquired Anderson (Ohio) OB/GYN group. According to a Dec. 30 news release, the acquisition brings five physicians into TCHHN’s women’s health service line: Michelle Federer, DO, Neha Jeirath, MD, Amanda Lynn, DO, Abigail…
The last year has seen several waves of federal policy updates and legislative moves that have significantly impacted the world of medicine. With 2025 drawing to a close, John Donovan, MD, a physician at Willamette (Ore.) ENT & Facial Plastic…
Hospitals in Nebraska lead the nation on physician communication, while hospitals in Nevada rank lowest, CMS data shows. CMS collects and publicly reports data on physician communication as part of its HCAHPS survey data. The measure assesses the percentage of…
Payer-provider relationships have long been challenged by administrative complexity, inconsistent requirements and misaligned incentives. These issues can contribute to care delays, payment delays and unnecessary friction for both organizations. Inconsistent requirements, duplicative documentation and misaligned incentives have made even routine…
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Replacing just one primary care physician can cost up to $900,000 in lost revenue annually. Yet many health systems still treat staffing like a back-office function — not a strategic, critical lever for care delivery innovation, physician retention, and enterprise…
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