Payer
The editors of Healthcare IT News, Healthcare Finance News and MobiHealthNews discuss the telehealth bill that was scuttled in 2024, as well as what's ahead in 2025 regarding the RPM market, physicians' pay schedule and cybersecurity policy.
Some leaders say AI will improve a massively inefficient, overpriced and difficult-to-access healthcare system, while others anticipate AI’s potential for earlier, more accurate diagnosis.
Cindy Henry, director of population health informatics at ZeOmega, explores the recent trends in Star Ratings, the contributing factors behind lower scores across the board and strategies to adapt as the program's standards continue to rise.
Attorney Everett Wilson, managing partner at Polsinelli's Miami office, discusses overall changes in Medicare and Medicare Advantage - and how the recent benefits changes affect consumers, payers and plans.
Dugan Winkie, head of commercial strategy at Cedar, discusses the revenue cycle management-focused company and how it works with strategic partners to ensure payments are satisfied using conversational AI and empathetic communication.
Jenn Kerfoot, chief strategy and growth officer at DUOS, discusses why only seven plans made five stars for Medicare Advantage Star Ratings, as opposed to 30 the previous year, and how plans can ensure a positive rating in the future.
An automated electronic PA process uses FHIR interoperability for greater efficiency, says Greg LeGrow, executive director of payer product market strategy at athenahealth and Mark Fleming, senior director of product at Availity.
Ashok Chennuru, global chief data and insights officer at Elevance Health, and Oron Afek, CEO of Vim, discuss scaling artificial intelligence to accelerate workflows, enhance patient care and unlock personalized medicine.
HIMSS24
Patricia MacTaggart, program director and teaching instructor at George Washington University and 2024 Changemaker Award winner, discusses how Medicaid’s innovative use of telehealth as a care modality influenced Medicare and other payers.
Ernie Crawford, CEO at Crawford Technologies, discusses how the 2024 CMS Final Rule pertaining to materials and content is bringing health equity to payer market communications.