Healthcare

Insurance Providers Should Prioritize Solutions for Streamlining Pre-Authorization Processes

pre-authorization processes

Prior authorization wastes medical and insurance providers’ time and can result in poor patient outcomes. Changes are likely as the federal government reviews legislation. Melanie Musson, a health insurance expert with USInsuranceAgents.com, reminds providers, “Health insurance providers should focus on creating better pre-authorization processes to improve efficiency and patient outcome.” Prior authorization has been […]

Read More

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Articles
Insurance Providers Should Prioritize Solutions for Streamlining Pre-Authorization Processes

Prior authorization wastes medical and insurance providers’ time and can result in poor patient outcomes. Changes are likely as the federal government reviews legislation. Melanie Musson, a health insurance expert with USInsuranceAgents.com, reminds providers, “Health insurance providers should focus on creating better pre-authorization processes to improve efficiency and patient outcome.” Prior authorization has been […]

Read More
Articles
Provider & Payer Dynamics: Revenue Cycle’s Evolution

Pre-authorization is a word that is being tossed around more and more frequently in the healthcare world. Often referred to as pre-approvals, prior approvals, or prior authorizations, these are insurance-dictated restrictions on medicines, tests, or health services that require a check before insurance will officially cover the product or service. More than three quarters of […]

Read More
Articles
The Provider Relief Fund: A Government Lesson in Unintended Consequences

The Provider Relief Fund (PRF) created a necessary cash infusion for healthcare providers during the pandemic. The pandemic required unprecedented government action to the tune of more than $19 billion distributed through the program. Now that the storm of Covid is behind us, the true story of PRF is around its success compared to mandated […]

Read More
Articles
Revolutionizing the Audit Process: Advancements in Supplier Assessments Within the Pharmaceutical Sector

Pharmaceutical companies invest significant resources in research and development to discover new drugs and therapies and improve existing ones. This involves rigorous testing, clinical trials, and obtaining regulatory approval before a drug can be sold. Government agencies, such as the Food and Drug Administration (FDA) in the United States, oversee the approval process and conduct […]

Read More
Healthcare
NCQA: Accelerating Health Equity Outcomes

From the National Committee for Quality Assurance (NCQA) Health Equity Director Bryan O. Buckley DrPH, MPH joins the podcast to share his story and efforts to progress health equity for disadvantaged families across the US. NCQA is committed to evolving equity in healthcare through services, programs and next generation accreditations aimed at supporting Health Plans, […]

Read More
Articles
New Insights on Treating Neurodegeneretive Diseases Could Lead to New Classes of Clinical Trials for Alzheimer’s Disease

Scientists have been stumped for years on how to awaken stem cells to make new neurons in the human brain; a new study out of the journal Science Advances may have just unlocked critical insight into this neurogenerative puzzle through a roadmap of metabolic pathways. The study, which was conducted on adult and elderly […]

Read More

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payer dynamics
Articles
Provider & Payer Dynamics: Revenue Cycle’s Evolution
March 24, 2023

Pre-authorization is a word that is being tossed around more and more frequently in the healthcare world. Often referred to as pre-approvals, prior approvals, or prior authorizations, these are insurance-dictated restrictions on medicines, tests, or health services that require a check before insurance will officially cover the product or service. More than three quarters of […]

Read More
The Provider Relief Fund: A Government Lesson in Unintended Consequences

The Provider Relief Fund (PRF) created a necessary cash infusion for healthcare providers during the pandemic. The pandemic required unprecedented government action to the tune of more than $19 billion distributed through the program. Now that the storm of Covid is behind us, the true story of PRF is around its success compared to mandated […]

Read More
Revolutionizing the Audit Process: Advancements in Supplier Assessments Within the Pharmaceutical Sector

Pharmaceutical companies invest significant resources in research and development to discover new drugs and therapies and improve existing ones. This involves rigorous testing, clinical trials, and obtaining regulatory approval before a drug can be sold. Government agencies, such as the Food and Drug Administration (FDA) in the United States, oversee the approval process and conduct […]

Read More
New Insights on Treating Neurodegeneretive Diseases Could Lead to New Classes of Clinical Trials for Alzheimer’s Disease

Scientists have been stumped for years on how to awaken stem cells to make new neurons in the human brain; a new study out of the journal Science Advances may have just unlocked critical insight into this neurogenerative puzzle through a roadmap of metabolic pathways. The study, which was conducted on adult and elderly […]

Read More
Neurodegeneretive Diseases
Articles
New Insights on Treating Neurodegeneretive Diseases Could Lead to New Classes of Clinical Trials for Alzheimer’s Disease
March 21, 2023

Scientists have been stumped for years on how to awaken stem cells to make new neurons in the human brain; a new study out of the journal Science Advances may have just unlocked critical insight into this neurogenerative puzzle through a roadmap of metabolic pathways. The study, which was conducted on adult and elderly […]

Read More
Overcoming Challenges in Perioperative Services and SPD Management: Insights from Brian Dawson of CommonSpirit Health

The healthcare sector suffered a major setback due to the COVID-19 pandemic. Providing high-quality services to patients is a priority. However, for healthcare facilities to run properly, managers or directors must make operational and strategic decisions, especially in the perioperative setting. Efficient operating room (OR) management involves maintaining equilibrium between optimal OR capacity, allocation of ORs […]

Read More
A Business Perspective on the Importance of Protecting Consumer Health Data

The healthcare industry has come under intense scrutiny in recent years due to multiple cases of health data breaches, leading to concerns over data privacy and security. The Federal Trade Commission (FTC) has taken steps to address this issue, cracking down on the sharing of personal health data without consumer knowledge or consent. Besides […]

Read More
Practicing Safe EHR Use

In managing any medical facility or clinic, electronic health records, better known by their initials, EHR, are a vital component to that management. EHRs contain a wide range of information that details a patient’s medical history, exams they have taken or need in the future, what medications they are using, and generally offers medical providers […]

Read More
EHR
Articles
Practicing Safe EHR Use
March 20, 2023

In managing any medical facility or clinic, electronic health records, better known by their initials, EHR, are a vital component to that management. EHRs contain a wide range of information that details a patient’s medical history, exams they have taken or need in the future, what medications they are using, and generally offers medical providers […]

Read More
Patient’s Responsibility in the Financial Side of Healthcare

Patients’ financial responsibility has been increasing over the years, and this trend is stepping-up healthcare costs, with no assurance it’s going to slow down in the future. According to patientengagementhit, patient financial responsibility increased by 11 percent in 2017, a rise from $1,630 in Q4 2016 to $1,813 in Q4 2017, totaling an increase of […]

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BetterHelp & GoodRx Are a Good Lesson. The FTC Health Privacy Rule Will Come for You If You’re “Deceiving” Patients.

Health data privacy has a new enforcer in town. This year has been a year of federal crackdowns in the healthcare industry as digital health companies have faced the hammer of the Federal Trade Commission for allegedly sharing customers’ health data for advertising purposes. Last month, the FTC put GoodRx in its scopes for “failing […]

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Yuvo Health Expands Leadership Team with Selase Dow as New Chief Operating Officer to Optimize Infrastructure, Drive Operational Alignment and Support for Community Health Centers

NEW YORK (March 7, 2023) – Yuvo Health, a leading technology-enabled administrative and managed-care solution for community health centers, today announced Selase Dow as its new Chief Operating Officer. In his new role, he is responsible for building and scaling the company’s value based care operations to ensure success for their Federally Qualified Health Centers (FQHC) partners, […]

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Seeing a community’s health gaps and opportunities is no easy feat. Seeing the social health needs at the household level is very challenging…but this is where Amit Kale, Vice President at Highmark Health, believes we need to start to help members live healthier lives. Amit Kale MD, MHA joins the podcast to talk about the […]

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Seeing a community’s health gaps and opportunities is no easy feat. Seeing the social health needs at the household level is very challenging…but this is where Amit Kale, Vice President at Highmark Health, believes we need to start to help members live healthier lives. Amit Kale MD, MHA joins the podcast to talk about the […]

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All Healthcare Articles
Insurance Providers Should Prioritize Solutions for Streamlining Pre-Authorization Processes
March 24, 2023

Prior authorization wastes medical and insurance providers’ time and can result in poor patient outcomes. Changes are likely as the federal government reviews legislation. Melanie Musson, a health insurance expert with USInsuranceAgents.com, reminds providers, “Health insurance providers should focus on creating better pre-authorization processes to improve efficiency and patient outcome.” Prior authorization has been […]

Read More
Provider & Payer Dynamics: Revenue Cycle’s Evolution
March 24, 2023

Pre-authorization is a word that is being tossed around more and more frequently in the healthcare world. Often referred to as pre-approvals, prior approvals, or prior authorizations, these are insurance-dictated restrictions on medicines, tests, or health services that require a check before insurance will officially cover the product or service. More than three quarters of […]

Read More
The Provider Relief Fund: A Government Lesson in Unintended Consequences
March 24, 2023

The Provider Relief Fund (PRF) created a necessary cash infusion for healthcare providers during the pandemic. The pandemic required unprecedented government action to the tune of more than $19 billion distributed through the program. Now that the storm of Covid is behind us, the true story of PRF is around its success compared to mandated […]

Read More
Revolutionizing the Audit Process: Advancements in Supplier Assessments Within the Pharmaceutical Sector
March 23, 2023

Pharmaceutical companies invest significant resources in research and development to discover new drugs and therapies and improve existing ones. This involves rigorous testing, clinical trials, and obtaining regulatory approval before a drug can be sold. Government agencies, such as the Food and Drug Administration (FDA) in the United States, oversee the approval process and conduct […]

Read More
NCQA: Accelerating Health Equity Outcomes
March 22, 2023

From the National Committee for Quality Assurance (NCQA) Health Equity Director Bryan O. Buckley DrPH, MPH joins the podcast to share his story and efforts to progress health equity for disadvantaged families across the US. NCQA is committed to evolving equity in healthcare through services, programs and next generation accreditations aimed at supporting Health Plans, […]

Read More
New Insights on Treating Neurodegeneretive Diseases Could Lead to New Classes of Clinical Trials for Alzheimer’s Disease
March 21, 2023

Scientists have been stumped for years on how to awaken stem cells to make new neurons in the human brain; a new study out of the journal Science Advances may have just unlocked critical insight into this neurogenerative puzzle through a roadmap of metabolic pathways. The study, which was conducted on adult and elderly […]

Read More
Overcoming Challenges in Perioperative Services and SPD Management: Insights from Brian Dawson of CommonSpirit Health
March 21, 2023

The healthcare sector suffered a major setback due to the COVID-19 pandemic. Providing high-quality services to patients is a priority. However, for healthcare facilities to run properly, managers or directors must make operational and strategic decisions, especially in the perioperative setting. Efficient operating room (OR) management involves maintaining equilibrium between optimal OR capacity, allocation of ORs […]

Read More
A Business Perspective on the Importance of Protecting Consumer Health Data
March 20, 2023

The healthcare industry has come under intense scrutiny in recent years due to multiple cases of health data breaches, leading to concerns over data privacy and security. The Federal Trade Commission (FTC) has taken steps to address this issue, cracking down on the sharing of personal health data without consumer knowledge or consent. Besides […]

Read More
Practicing Safe EHR Use
March 20, 2023

In managing any medical facility or clinic, electronic health records, better known by their initials, EHR, are a vital component to that management. EHRs contain a wide range of information that details a patient’s medical history, exams they have taken or need in the future, what medications they are using, and generally offers medical providers […]

Read More