7+ hour, 59+ min ago  (160+ words) The core value of Surescripts" updated infrastructure lies in its ability to transition prior authorization from a reactive, retrospective scramble into a seamless, electronic "system of action" executed at the point of care. When the clinical documentation matches the pre-established…...

1+ mon, 1+ week ago  (171+ words) J. D. Power 2026 U. S. Healthcare Digital Experience Study Ranks Cigna and UPMC Highest Over the last five years, national health insurers have poured billions of dollars into building the ultimate "digital front door." They launched sleek mobile apps designed to help members check…...

2+ mon, 3+ week ago  (236+ words) HIT Consultant What You Should Know - The Launch: Baba, a new patient advocacy platform for older adults, has emerged from stealth with over $6. 5 M in seed funding led by General Catalyst. - The Model: Baba embeds dedicated human advocates (nurses/social…...

3+ mon, 3+ day ago  (177+ words) HIT Consultant What You Should Know - The Deal: Innovative Consulting Group (ICG), a portfolio company of SV Health Investors, has acquired Pivot Point Consulting. Pivot Point was divested from Highspring to facilitate the transaction. Financial details of the acquisiton were…...

3+ mon, 3+ week ago  (490+ words) Missed referrals represent a major, recurring cause of revenue leakage for providers and delays in access to care for patients." When a physician refers a patient to a specialist, the ideal outcome is a prompt appointment and clear documentation that…...

3+ mon, 3+ week ago  (518+ words) A new industry report from Homecare Homebase (HCHB) reveals a paradox at the heart of the sector. While demand is at historic highs11, 200 Americans turn 65 every dayaccess to care is shrinking. Referral conversion rates have plummeted 13% since 2018, resulting in 4. 2 million individuals…...

4+ mon, 4+ day ago  (216+ words) " Kaiser Permanente affiliates have agreed to a $556 M settlement to resolve allegations of violating the False Claims Act by submitting invalid diagnosis codes to inflate Medicare Advantage (MA) payments." " The settlement, involving multiple Kaiser Foundation and Permanente Medical Groups, addresses…...

4+ mon, 3+ week ago  (337+ words) Financial challenges are not new to healthcare. A perfect storm of converging trends has left many organizations operating within razor-thin margins in recent years." For safety-net providers, the latest financial uncertainties introduced by the One Big Beautiful Bill Act present…...

10+ mon, 4+ day ago  (514+ words) The reality is that inaccurate provider data now carries significant financial, legal, and reputational risks. Health plans must verify and update provider information at least every 90 days, promptly remove unverified providers, and reflect updates within two business days." In short,…...