Tag: Payers

Prior authorization has long been a sticking point between payers and providers, with payers arguing that it’s necessary to control ...

Health systems have to take responsibility for the broken prior authorization process and stop deferring action to payers, according to ...

Financially speaking, it’s a tough time to be a hospital. Health systems across the country are being squeezed by flat ...

Cohere Health, a clinical intelligence company, launched a new solution called Review Assist, which speeds up medical necessity reviews for ...

TrampolineAI, an AI-powered contact center platform for health plans, launched on Thursday. It was built at Redesign Health, a healthcare ...

As healthcare reimbursement evolves, hospitals are facing a new challenge: payers are increasingly using artificial intelligence (AI) to manage claims. ...

The issue of fraud, waste and abuse in healthcare spending is a major challenge for both payers and providers with ...