Artificial Intelligence

OIG Identifies Unnecessary Denials, Delays by Medicare Advantage Plans

by Kyle Murphy, PhD

The Medicare Advantage program has proven quite lucrative for commercial health plans over the years, but a federal agency is calling into question whether certain business practices are leading to...

Court Ruling Brings an End to Proposed New Jersey Hospital Merger

by Kyle Murphy, PhD

The tides appear to be changing with regard to healthcare mergers and acquisitions in both federal courts and the court of public opinion.  Interoperability Holding Back Healthcare Digital...

Not So Fast: Deadline Extended for Change-Optum Merger

by Kyle Murphy, PhD

With a legal battle looming with the Department of Justice and major provider associations shouting foul, Change Healthcare and UnitedHealth Group have extended the merger deadline to year's...

Google to Bring Artificial Intelligence to Health, Maternal Health

by Kyle Murphy, PhD

Google continues its push into healthcare, this time with applications of artificial intelligence to improve cardiovascular and maternal health. Google AI Efforts to Focus on Heart, Maternal...

How to Develop a Successful Predictive Analytics Tool

by Kelsey Waddill

Tom Selva, chief medical information officer of University of Missouri Health Care, knows the power that predictive analytics have to transform the healthcare industry. Listen to the full podcast to...

Feds Talk Health Equity, GE introduces Digital Health Platform at HIMSS22

by Hayden Schmidt

This week, in Orlando, FL, senior executives from healthcare providers and payer organizations are sharing their technology accomplishments and new product developments. HIMSS CEO Hal Wolf opened the conference Tuesday by highlighting the...

Telehealth Utilization Increasing Medicaid Provider Reimbursement

by Kyle Murphy, PhD

Increased use of telehealth services by Medicaid beneficiaries in California is leading to positive financial outcomes for providers in the state. ClosedLoop.ai Tops Epic, Cerner for AI Platform...

Care Gaps Among Seniors Remain Prevalent, Warrant Action

by Kyle Murphy, PhD

Senior populations are more vulnerable to severe infection from COVID-19, but they also face health risks due to delayed or foregone care during the pandemic. A Third of Seniors Experiencing Impact of...

CVS Health to Leverage Community Reach to Expand Clinical Trial Access

by Kyle Murphy, PhD

A recent collaboration between CVS Health and Medable looks to make use of the former’s influence in numerous communities to spur greater participation in clinical trials among hard-to-reach...

Another Payer Launches a Remote Patient Monitoring Program

by Kyle Murphy, PhD

With remote patient monitoring proving to be a valuable tool for timely and effective care management, more and more payers are standing up their own RPM programs to benefit their members and...

How Telephonic Remote Patient Monitoring Makes a Real Difference

by Kyle Murphy, PhD

Healthcare organizations are looking at a combination of technology and community partnerships to remove obstacles in the way of underserved populations from accessing and benefitting from...

Overall Telehealth Use Decreases, But Telemental Care Increases

by Kyle Murphy, PhD

The pandemic continues to wear on the psyche, increasing stress, fatigue, and a general sense of malaise. But telehealth is removing obstacles to mental healthcare. Telehealth Use Dips Overall,...

Top Trends in Healthcare Technology, Cybersecurity in 2022

by Kelsey Waddill

This new year presents a very unique opportunity in the history of healthcare technology and cybersecurity. “The last two years, while they've certainly been tragic and very...

Healthcare Leaders Seek Improvements to Patient Outcomes with AI

by Kyle Murphy, PhD

Not only have healthcare executives warmed to the use of artificial intelligence, but they are also eager for the technology to improve patient outcomes within the next few years. Healthcare...

Medicare FFS Telehealth Visits Eclipsed 52.7 Million in 2020

by Kyle Murphy, PhD

What is the future of telehealth for Medicare beneficiaries? Data shows utilization skyrocketed between 2019 and 2020. Medicare Telehealth Use Reached New Heights in 2020 In one year, telehealth...

Unspent Billions in Provider Relief Fund Likely to Raise Eyebrows

by Kyle Murphy, PhD

The revelation that nearly $27 billion remains in the Provider Relief Fund begs the question: Did the federal government do enough to help providers weather the coronavirus pandemic? Analysis Reveals...

AdventHealth, Ascension Pull the Plug on AMITA Health

by Kyle Murphy, PhD

Bucking the merger and acquisition trend of healthcare, AdventHealth and Ascension are calling it quits on their seven-year-old merger. AdventHealth, Ascension to Separate Seven Years...

Telehealth Reimbursement a Focal Point of Post-Pandemic Healthcare

by Kyle Murphy, PhD

As the pandemic winds down, providers and payers are set for serious conversations about telehealth reimbursement and payment parity now that the modality has shown its real potential for improving...

Pediatric Price Transparency Information Nearly Non-Existent

by Kyle Murphy, PhD

While the pandemic has likely drawn the bulk of interest over the past two years, healthcare price transparency has returned to the fore and new evidence suggests hospitals are not doing their...

Staffing Shortages Increasingly Impacting Healthcare Industry

by Kyle Murphy, PhD

The coming winter could prove calamitous for the healthcare industry due to a perfect storm of staffing shortages, COVID-19, and flu season. Clearly, more relief and mitigation efforts...

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