Claims Processing
The settlement resolves claims that the insurers violated antitrust laws by entering into an agreement not to compete with each other.
The Texas lawsuit claims UHC has advanced an "unlawful scheme" to eliminate providers like itself from its network for its own financial benefit.
The vendor announced that it was collaborating with New York Life to facilitate and simplify EHR retrieval.
Transcarent is offering at-risk contracts to share in employer savings.
The massive amount of data available in healthcare makes it a prime area for artificial intelligence and machine learning automation.
Similar to the COVID-19 vaccine, Medicare will cover these infusions for the duration of the public health emergency.
Although RAND said price regulation is the most effective way to reduce spending, the researchers said this method has the most opposition.
Prior authorization continues to be the area with the lowest adoption rate, with only 21% of medical plans having fully electronic transactions.
Rule requiring payers to implement APIs for data sharing and to streamline prior authorization is "half-baked," AHIP says.
The data will be used in a study to assess how physician practice mergers and hospital acquisitions of physician practices affect the marketplace.