Accounting & Financial Management
CBO fielded questions from lawmakers ranging from AI and machine learning to healthcare consolidation and transparency.
An average of 3.2% of all claims denied include those that are preapproved via the prior authorization process.
The organization attributes the results to its insurance business units, notably Highmark Health Plans and HM Insurance Group.
This spending, which authors described as 'unchecked,' is due largely to non-claims payments, pharmaceutical costs and outpatient care.
Eighty four percent of health systems cite lower reimbursement from payers as a top cause of low operating margins.
Q4 earnings report shows AI benefits of Google Cloud partnership, CHS says on same day it revealed civil investigation.
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February 26, 2024
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February 26, 2024
Prioritizing preventive care can help increase positive healthcare outcomes, while financial solutions can support accessibility.
<p>Bed blocking causes patients to be stuck at the hospital rather than going to rehab. Patients might also wait on a gurney in the ER, says Dr. Will O'Connor, CMIO at TigerConnect.<br />
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The percentage of America's rural hospitals operating in the red jumped from 43% to 50% in the last 12 months, the biggest leap yet.
The hospital claims that reimbursements for the drugs were determined by a payment model that is no longer valid.