News
A roundtable discussion among industry executives has identified access, efficiency and administrative burden as pressing issues.
Medicaid is often the highest line item in rural budgets, says Families USA executive director.
Among other changes, the rule shortens the open enrollment period starting in 2027.
Insurers are promising faster access for patients and more transparent workflows for providers.
Increasingly, payers are using AI and data analytics for member interactions and for provider networks based on outcomes and cost.
To achieve its goal, Humana told investors it's set several targets, including increasing preventative care visits by 20% this year.
Some physicians have already stopped care and one organization says decision will criminalize providers.
Senior leaders feel pressure to evolve AI but cite a lack of internal resources to develop in-house AI tools.
The ambulatory surgical center market, aided by AI to enhance care coordination and surgical outcomes, is growing.
Provider performance intelligence is rapidly becoming a business lever, not just a compliance requirement.