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High call volumes. Long resolution times. Burned-out agents. For payers, traditional contact center tools aren’t enough to meet today’s member expectations. Generative AI is changing that — and some of the most complex service organizations in the world are already…
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Denials remain on the rise as errors become harder to catch early and eligibility rechecks take longer. This 2025 State of Claims report — based on a survey of healthcare finance and revenue cycle professionals — identifies what is driving…
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Observation care is underused, inconsistently applied and frequently misunderstood — but it has a major role to play in reducing unnecessary inpatient admissions and controlling national health expenditures. This whitepaper explores how properly implemented observation care can support payer-provider alignment,…
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Fragmented tech stacks are draining hospital margins — but systems like MUSC Health, Montage Health, Care New England and Austin Regional Clinic are proving consolidation doesn’t just reduce waste. It unlocks real ROI. This CFO-focused report shows how leading organizations…
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Patient access can no longer rely on manual scheduling, long hold times or disconnected portals. These outdated workflows frustrate patients and burn out staff — and healthcare leaders know it. In a recent Becker’s survey, 100 healthcare executives shared their…
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From under-coded exams to misconfigured billing systems, radiology groups are losing revenue daily. One West Coast practice uncovered major losses tied to automation errors and poor queue oversight. Others miss reimbursement altogether due to basic demographic and authorization missteps. Uncover…
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In 2024, healthcare faced more targeted cyberattacks than any year on record. Threat actors used tactics once reserved for Fortune 500 companies against small clinics, diagnostic centers and regional hospitals. The 2025 Cyber Threat Report breaks down exactly how these…
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Economic strain, staffing shortages and consolidation are squeezing ASCs but they’re also forcing transformation. Without bold action, ASCs risk margin erosion, physician attrition and lost leverage with payers. From restructured strategic partnerships to real estate monetization and new partnership models,…
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Behavioral health providers face immense pressure to verify benefits quickly and correctly — often within an hour of intake. But with payer-specific requirements, Medicaid redeterminations and program variations by state, even one missed detail can delay care or derail reimbursement.…
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In 2024, nearly 1,700 people in the U.S. died from cancer each day. Many could have benefited from earlier identification, but variable workflows, limited tech integration and care disparities make it difficult to consistently flag high-risk patients. Now, health systems…
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