Financial/Revenue Cycle Management
Prior auth can be completed in 30 seconds using coordination between the physician, PBM and EHR, says Surescripts VP of product innovation Matt Koehler. The company presented the scenario at AHIP 2025.
FinThrive Chief Innovation Officer John Yount explains how agentic AI learns and can evaluate claims to make faster decisions to drive improved reimbursement.
Baptist Health Chief Revenue Officer says the health system will often eat the cost of a service rather than delay care.
At UGM25, the EHR giant announced new artificial intelligence models being developed for clinical charting through a collaboration with Microsoft, a patient-facing generative AI chatbot and a revenue cycle management agent.
The new event, scheduled for Sept. 18-19 in Chicago, will focus on high-level insights for the C-suite. HIMSSCast will be simulcasting from the show with the Straight Outta Health IT podcast, whose host Christopher Kunney joins us for a preview.
Healthcare organizations can build executive confidence in technology investments by adopting a structured, outcome-oriented approach that aligns IT initiatives to clinical and operational goals. The HIMSS Infrastructure Adoption Model can help.
Dave Snow, CEO of Cedar Gate Technologies, reveals that 60% of all healthcare payments are in some form of value-based care. He offers his insights.
Christie Teigland, Inovalon's VP of research science and advanced analytics, says encounter data shows that MA enrollees are more likely to have a chronic condition than those of traditional fee-for-service Medicare.
While some say the executive order is too broad, others hope that by streamlining approvals and setting development standards it will "accelerate AI adoption in healthcare at a time when the industry has never needed it more."
Digitalisation enables preventive medicine, which is always cheaper than curative medicine, says CareClinics Healthcare Services CEO Dr Thirunavukarasu Rajoo.