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Operations

By Susan Morse | 04:28 pm | January 18, 2019
Agency instead offers insurers a reduction in user fees for participating in the Affordable Care Act market.
By HIMSS TV | 06:24 pm | January 17, 2019
Laurie McGraw, SVP of Health Solutions at the AMA, describes how the AMA's award-winning tools help alleviate the problem of physician burnout by improving clinical workflows and removing patient-care barriers.
By Susan Morse | 02:07 pm | January 17, 2019
Minor differences in co-payments sometimes mask exponential differences between similar generic formulations.
By Susan Morse | 11:09 am | January 17, 2019
By empowering patients with a single access point to all their data, the exchange also benefits providers and payers.
By Susan Morse | 03:51 pm | January 16, 2019
Providers get a reduced wait time in the prior authorization process, which is usually manual and paper-based.
By Beth Jones Sanborn | 03:02 pm | January 16, 2019
Tenet's CEO said the exclusion of Humana patients had an adverse effect on the system, with adjusted patient admissions dropping when Humana patients were excluded.
By Susan Morse | 12:50 pm | January 16, 2019
The retailer is terminating its deal with its PBM, putting commercial and managed Medicaid beneficiaries out-of-network.
By Beth Jones Sanborn | 12:19 pm | January 15, 2019
Hahnemann and St. Christopher's were recently sold by Tenet Healthcare to American Academic Health System, a newly-formed affiliate of Paladin Healthcare.
By Beth Jones Sanborn | 10:25 am | January 15, 2019
Executives and board members aren't cybersecurity experts so putting it in terms they can digest is crucial -- and that takes "real-life resonance" and constant vigilance.
By Susan Morse | 04:27 pm | January 14, 2019
NLP application embedded during coding phase allows for better compliance and more precise reimbursement.