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The Future of Health Plan Administration: How AI and Automation Are Paving the Way for Sustainable Growth

In today’s rapidly transforming healthcare landscape, health plans face mounting pressures to balance operational demands, cost efficiency, and member satisfaction. While artificial intelligence (AI) and automation offer promising solutions, many payers remain hesitant and uncertain about their practical applications and benefits. However, specific technologies like conversational AI and robotic process automation (RPA) are proving their […]
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The Future of Health Plan Administration: How AI and Automation Are Paving the Way for Sustainable Growth
How Accountable Care Organizations Meet Quality Benchmarks

How Accountable Care Organizations Meet Quality Benchmarks

Accountable care organizations need to overcome some major challenges such as the lack of data sharing from hospitals. Accountable care […]

What payers want to know before they commit to exchanges

What payers want to know before they commit to exchanges

Insurers, facing a June deadline, are hoping for more assurance from the White House that it will support exchange stability. […]

MGMA Advises New HHS Secretary on MACRA Implementation

MGMA Advises New HHS Secretary on MACRA Implementation

MGMA made suggestions to improve various aspects of the healthcare industry that benefit medical groups participating in MACRA implementation. The […]

Emergency Coverage Top Healthcare Consumer Demand For Payers

Emergency Coverage Top Healthcare Consumer Demand For Payers

When talking about access to care, healthcare consumers were highly in favor of transparency and want payers to cover emergency […]

The importance of securing patient identity as health IT goes virtual

The importance of securing patient identity as health IT goes virtual

Normal healthcare concerns become even more pressing with the growing prevalence of virtual care. Health IT solutions must address patient […]

7.1M Patients Use Remote Monitoring, Connected Medical Devices

7.1M Patients Use Remote Monitoring, Connected Medical Devices

More patients than ever are using connected medical devices to engage in remote monitoring and virtual healthcare. More than seven […]

Cloud healthcare: The connection economy’s next frontier

Cloud healthcare: The connection economy’s next frontier

Welcome to the connection economy: a commercial world based on relationships in which who and what you know beats out […]

How Payers Could Assist Primary Care Docs with Value-Based Care

How Payers Could Assist Primary Care Docs with Value-Based Care

By sharing timely data, healthcare payers could help primary care practices succeed in value-based care. “One of the things I […]

Key Challenges and Solutions of Healthcare Payment Reform

Key Challenges and Solutions of Healthcare Payment Reform

Payers will need to support their provider networks when advancing healthcare payment reform. Healthcare payment reform is becoming more common […]

5 Solutions for Conquering Challenges of Bundled Payment Models

5 Solutions for Conquering Challenges of Bundled Payment Models

Healthcare information technology in 2017 Payers and providers face various challenges when implementing bundled payment models including mistrust on both […]

How Payers, Providers Could Streamline Medical Claims Management

How Payers, Providers Could Streamline Medical Claims Management

Payers and providers may need to boost training and medical documentation processes while reducing denial rates to streamline medical claims […]

Health Information Technology Allows Payers to Share Data

Health Information Technology Allows Payers to Share Data

CMS partnered with private payers to improve primary care delivery using health information technology and data exchange. The Centers for […]