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The wide variation in prices is not tied to quality, says a Trilliant Health report.
Efforts to apply agentic or generative AI will fall short without a unified data foundation, report finds.
A Texas judge vacated a 2024 final rule that would have limited payment to third-party administrators who help MA marketers.
The groups are requesting an extension of the comment and application periods to give HRSA more time to review requests.
CMS says it also wants to calculate more accurate payment rates for certain services.
Senior leaders feel pressure to evolve AI but cite a lack of internal resources to develop in-house AI tools.
Roles in CMS and HHS have given Whyte an understanding of health policy, reimbursement and clinical innovation and payment models, AMA says.
EnReachRx includes dose optimization support, as well as enhanced fraud, waste and abuse detection and interventions.
Revenue cycle teams are able to resolve billing inquiries faster through an automated AI call center.
Healthcare organizations need to increase revenue while cutting expenses and find ways to personalize the patient experience.