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Plus: HFMA and FinThrive release RCM modernization assessment tool, a peer-reviewed adoption model for healthcare providers.
From generative AI to intelligent automation to cybersecurity, they discuss what CIOs and IT leaders should stay focused on as the healthcare industry continues to evolve.
Lawmakers are concerned that CMS' 2024 final Part C and D rule may not adequately address MA plans' increased reliance on AI.
While 80% of a commercial bill is the plan's responsibility, 20% is owed by patients, says PayMedix CEO Tom Policelli.
More than 7 million have lost Medicaid coverage, with states taking widely different approaches to the redetermination process, says John Barkett.
The payer says its new care management platform built on Salesforce Health Cloud helps understand members' care needs better and other tools reduce the processing time for benefits administration from 24 hours to five minutes.
Also, Genea runs an integrated surgery management system powered by Clintel's CareRight.
Also: eClinicalWorks now offers a suite of patient engagement capabilities through a collaboration between Ero Health and HealthTalk A.I.
In its first year at Medica, HealthRules Promote supported more than 400 configuration projects and yielded an estimated $750,000 cost savings, according to the company.
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When Vanderbilt University Medical Center turned over non-anonymized medical records to the state without patient consent, it pitted Tennessee state law against HIPAA and unleashed a federal investigation as well as a class action patient lawsuit.
