Financial/Revenue Cycle Management

If mental and behavioral health patients don’t present insurance information during intake, Medicare or Medicaid may be billed when a patient is actually covered under a managed care organization or Medicare Advantage plan.

Dr. Michael Poku, chief clinical officer at Equality Health, discusses the role technology plays in the organization's VBC model and highlights results it has achieved for its member primary care practices.

Longitude Health says it plans to invest in solutions to address healthcare's most complex challenges.

Regulations with "this level of negative market impact for health IT developers also inherently mean disruption and stress for providers" who participate in CMS payment programs, vendors say.

With large ransomware breaches up more than 260% since 2018, "the health care sector needs to get serious about cybersecurity and complying with HIPAA," says the director of the HHS Office for Civil Rights.

ChristianaCare and UAB Health are set to make the move to Epic, while Oracle has a new pair of critical access hospitals to its CommunityWorks suite and is looking "beyond the EHR."

It's already happening: CFOs are getting Teams calls from their "CEO" asking for reports on financial transactions, says ChristianaCare CISO Anahi Santiago ahead of her appearance at the 2024 HIMSS Healthcare Cybersecurity Forum.

The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries.