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News
Understanding the Difference Between OPD and IPD When Using a Digital Calculator for Health Insurance
1+ week, 5+ day ago (396+ words) Let’s break down what OPD and IPD actually mean, why the distinction matters, and how it changes what you should be looking for when you run your numbers. Before anything else, it is worth being clear about these two terms,…...
How hospital-at-home programs can be built to last
3+ week, 3+ day ago (40+ words) Modern Healthcare How hospital-at-home programs can be built to last The meeting gave a look into the EHR vendor's research and development roadmap as Epic faces leadership change and reported antitrust scrutiny....
The Gold Trophy Comes With Caveats: Nursing Homes Cautiously Embrace CMS Risk-Based Survey’s New Icon
4+ week, 1+ day ago (1044+ words) Pixabay / qimono | CC0 As part of the federal government’s new risk-based survey model, nursing homes will be marked as “high-performing” using a little gold trophy icon on Care Compare. While the icon could be a powerful marketing tool, sector leaders warn…...
New healthcare ins. product to cover outpatient care without pre-approval
3+ week, 11+ hour ago (137+ words) No pre-approval for outpatient care No pre-approval: Saudi Arabia plans to introduce a health ins. product that will allow policyholders to receive outpatient treatment without requiring prior medical approval, the Ins. Authority said in a press release. The new product…...
Can UnitedHealth's AI Strategy Strengthen Optum Insight's Growth?
3+ day, 22+ hour ago (166+ words) How Are Competitors Faring? Some of UNH’s major competitors in the healthcare service provider space are Humana Inc. HUM and Centene Corporation CNC. Humana is expanding AI across care management, prior authorization and member engagement to improve efficiency and health…...
Smartsheet Revamps Partner Program Emphasizing Simplification, Alignment And More Targeted Incentives: Exclusive
1+ week, 5+ day ago (1019+ words) interview with CRN. [Related: The 20 Coolest Cloud Software Companies Of The 2026 Cloud 100] “I realized in...especially considering all the changes to enterprise software and AI and everything,” he said. Smartsheet, headquartered...
A Look Inside The Expanded Partnership Between SCAN And Costco
2+ week, 4+ day ago (686+ words) SCAN Group and retailer Costco are expanding their partnership by launching new co-branded Medicare products. The initial plans include a Medicare Advantage plan available in two states and Medicare supplement coverage in a third. The companies said the launch makes…...
Solutions needed to aid growing need for home healthcare
5+ day, 36+ min ago (259+ words) Advertiser-Tribune As Ohio's population ages, the number of older adults who need at least a little help is increasing, while the number of people qualified to offer that help is dwindling It's a nationwide problem â by 2030, the number…...
Medicare Platform Secures $50 Million Credit Facility To Scale AI-Powered Value-Based Senior Care
4+ week, 1+ day ago (526+ words) Medicare Platform has secured a $50 million revolving credit facility facilitated by Nestpoint Group to expand its network of Accountable Care Organizations and invest further in AI-powered healthcare infrastructure. The financing will support accelerated onboarding of ACO partners across the U.S., increase…...
One Year In: Mike Stuart on the Future of Healthcare and Blue Shield's Role in Shaping It
4+ day, 19+ hour ago (656+ words) A year ago, Mike Stuart was named president and chief executive officer of Blue Shield of California. As he reflects on his first year as CEO, he shares lessons learned, the progress he's most proud of, and the priorities that…...