Operations

Underpayment is one of the most damaging issues financially for hospitals reporting that over a year, 32% of claims were underpaid, representing $5B in lost revenue, says John Yount, Chief Innovation Officer, FinThrive.

In the discussion of build vs buy, organizations should take advantage of applications by vendors that are ready to go and determine whether they have in-house expertise, says Yesha Patel, data scientist at Keck Medicine of USC.

The system also cited "an unprecedented and unexpected surge" in charity care costs that now exceed $1M a day.

The wide variation in prices is not tied to quality, says a Trilliant Health report.

In rural markets, the biggest factors hindering cybersecurity efforts are resource allocation and expertise, says DRH Health VP and COO Roger Neal.

The groups say the AHRQ’s cessation of its grantmaking process violates statutory and regulatory requirements.

Settlement is expected to benefit over 1M providers with another 15,589 requesting to opt out as of April, according to court documents.

Efforts to apply agentic or generative AI will fall short without a unified data foundation, report finds.

Key factors are if AI is shown to reduce nursing burnout and educating staff on what the tech can and can't do, says Stephen Ferrara, associate dean of AI at Columbia University and past president of the American Association of Nurse Practitioners.

Baptist Health Chief Revenue Officer says the health system will often eat the cost of a service rather than delay care.