Category: Healthcare News

2024 Patient Experience trends

Healthier Horizons: Patient Experience Trends for 2024

The healthcare landscape is undergoing an unprecedented evolution, set to drive a significant transformation in patient experience in 2024. Recent technological advancements, coupled with increased patient expectations for enhanced care, are converging with a comprehensive approach encompassing clinical, social, and behavioral facets of patient well-being. This convergence necessitates the modernization of care delivery systems to […]
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10 Prior Authorization Updates in 2023 

In 2023, multiple entities, such as the Health Insurance Company and health Services Company, declared reductions in prior authorizations. Healthcare Media provided further details on this and additional updates related to prior authorizations in the healthcare sector reported this year. According to a November 13 report from the Medical Group Management Association, 89% of medical […]
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The-Evolution-&-Challenges-of-Recovery-Audit-Contractor-Audits

Evolution of Recovery Audit Contractor (RAC) Audits: Challenges, Changes, and Current Landscape

The inception of Recovery Audit Contractor (RAC) audits dates back to 2005, reaching their zenith around 2010 before encountering a deceleration amidst the COVID-19 period. In 2006, Congress granted the Centers for Medicare & Medicaid Services (CMS) the authority to launch the Recovery Audit Contractor program across three initial states: New York, Florida, and California. […]
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The Future of Healthcare: 4 Tech Trends Shaping 2024

The traditional and conservative realm of healthcare has experienced significant and swift technological upheaval in the last ten years. The surge of generative AI and Large Language Models (LLMs) has outpaced any previous innovation wave, revolutionizing the landscape. While lauded as potential remedies for numerous healthcare challenges, these innovations confront the digital health industry with […]
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How Implementing Site-Neutral Policies Can Help Reduce Healthcare Costs

The United States grapples with a healthcare affordability crisis, anticipating a 6.5 percent surge in costs due to inflation next year. Amidst concerns over escalating medical expenses, the deeper roots of these inflated prices often evade attention. Deficient government policies, notably Medicare reimbursement policies, contribute to consolidating the healthcare sector, ultimately driving up costs that […]
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AI is set to revolutionize healthcare in 2024!

How AI is Revolutionizing Healthcare in 2024

Anticipate further transformations ahead, with 2024 poised to introduce substantial shifts within the healthcare sector. This period of change will be marked by the rapid proliferation of artificial intelligence, intricately woven into the entirety of the healthcare framework, presenting opportunities to enhance healthcare delivery and elevate patient outcomes. Consider this scenario: Picture yourself as a […]
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Darker side of AI in healthcare

AI in Healthcare: Revealing the Risks and Challenges Ahead

AI represents a promising frontier, especially in healthcare, where leveraging vast information could revolutionize problem-solving. However, a shadow looms over AI, as anticipated by many. In the realm of health insurance and patient care denials, AI has already stirred controversy, leading to a notable class action lawsuit. According to reports from healthcare News, Health Insurance […]
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Medicare Advantage Value-Based Care: Enhanced Health Outcomes

Alongside its positive impact on health outcomes, the Medicare Advantage value-based care plans implemented by an insurance provider resulted in a significant $8 billion in cost savings throughout 2022. Reports from the payer revealed that Medicare Advantage beneficiaries under value-based care exhibited improved health conditions, marked by reduced inpatient admissions and emergency room visits. The […]
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Understanding ABNs for Providers and Medicare Beneficiaries

The Advance Beneficiary Notice (ABN), Form CMS-R-131, issued by the Centers for Medicare & Medicaid Services (CMS), holds immense importance for healthcare providers, revenue cycle teams, and Medicare beneficiaries. What is an ABN (Advance Beneficiary Notice)? An ABN, formally extended to Medicare Fee-for-Service (FFS) beneficiaries, precedes outpatient services like labs, imaging, physical therapy, or observation. […]
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Top 10 Healthcare Technology Trends 2024: AI, Virtual Care, and More

Healthcare is facing an escalating crisis due to workforce shortages, expected to persist into 2024. This situation has compelled healthcare organizations to operate with constrained resources while grappling with financial strain. Concurrently, healthcare leaders acknowledge the imperative of tackling widening health inequalities and environmental issues to ensure the sustainability and inclusivity of healthcare systems. The […]
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