Financial/Revenue Cycle Management
Brian Smith, chief pharmacy officer at Shields Health Solutions, says provider frustration over prior authorization is real, but doesn't tell the whole story of the patient journey.
As ambient conversations unfold, physicians have access to evidence-based guidance through a new partnership between Abridge and NEJM and JAMA and ease downstream coding burdens, says Abridge Clinical Strategy Director Matt Troup.
Misaligned incentives cause providers and payers to go back and forth on claims, but they may be approaching the same goals from different perspectives, according to Lalithya Yerramilli, SVP of Payment Solutions for Cohere Health.
The payer says its initiatives will stabilize the financial health of independent rural hospitals and improve patient access to care.
Hospitals must balance financial pressure with clinician wellbeing as cost-first strategies are linked to burnout.
Backed by the "Godmother of Silicon Valley," Esther Wojcicki, and former Google product executive Mary Minno, Treehub aims to fund and help build companies from academic founders while drawing on Wojcicki's legacy of shaping Silicon Valley leaders.
Drawing on real-world hospital experience, this session reframes administrative burden as a clinical operations challenge with direct financial implications.
The accepted providers have agreed to receive payments tied to the results-based Medicare payment model, which allows healthcare organizations to use digital health tools and integrated services to treat chronic conditions.
Australia is investing heavily in digital health – but without redefining ROI beyond short-term financial returns, much of its true value risks going unmeasured.
Ratnakar Lavu, Elevance Health's chief digital information officer, discusses how the seventh largest healthcare company based on revenue shares validates AI models.