Reimbursement
Todd Van Meter, Accuity CEO, talks about how the company helps providers reduce clinical denials by pairing physician-led review with AI that parses medical records to ensure error-free coding and documentation.
In the best case scenario, hospitals “are getting 20% less than the lowest workman’s comp fee schedule in the country,” says Zachary Schultz of EnableComp.
Arintra CEO Nitesh Shroff says the company's AI-powered platform turns complex clinical documentation into explainable, compliant codes that help reduce claim denials and support improving health systems' bottom lines.
Jennifer Goldsack, CEO of the Digital Medicine Society, outlines DiMe's new project focused on aging-in-place with healthcare technologies and reimbursing remote patient monitoring as federal and private insurers' coverage policies evolve.
OSF HealthCare's Brandi Clark says that, in 2026, insurers' payments for telemedicine and remote patient monitoring reimbursement will increasingly align with organizations’ value-based care maturity.
Jeff Ladner, Onspring's chief product officer, explains what healthcare leaders need to know about Medicare's six-year WISeR program, which will add new preauthorization requirements, documentation standards and appeals workflows.
As tariffs target medical devices, plastics and packaging, ArcheHealth CEO Ralph Keiser says technologies that analyze pricing data can help hospitals build evidence for renegotiating contracts and increasing reimbursement.
While shorter-term fixes like renegotiating payer contracts can help, Wipfli's Kelly Arduino recommends that hospitals heavily dependent on Medicaid rebuild community philanthropy and endowments.
Matt Koehler, VP of product innovation at Surescripts, describes a scenario, which was presented at AHIP 2025, where prior auth can be completed in 30 seconds using coordination between the physician, PBM and EHR.
John Yount, chief innovation officer at FinThrive, discusses ways AI can eliminate inefficiencies and better reduce revenue leakage that typically stem from errors, delays and missed opportunities for reimbursement.