Operations

Impacted payers need to send prior authorization decisions within 72 hours for urgent requests and seven days for standard requests. 

AI adds a capability to identify when interventions are necessary and to get an idea of the health and needs of a population, says Matt Cybulsky, founder of Ionian Healthcare Consulting.  

Despite increase in RSV vaccinations and higher COVID-19 costs, UnitedHealth Group's profits hit $5.5B in Q4.

One closed and declared bankruptcy because, while it was able to deliver care, it was unable to do billing, says Iain Paterson of WELL Health Technologies, who, with Yotam Segev of Cyera, discussed the benefits of moving to the cloud.  

The New Hampshire Hospital Association is calling for patients to mask in certain areas and be mindful of hygiene.

At HIMSS AI in Healthcare Forum, one session about Atlantic Health System's AI rollout focused on a watershed moment of smart machines and humans integrating, says Sunil Dadlani, EVP and chief information and digital officer.  

Intermediate sanctions, effective on January 12, are due to low Medicare Advantage star ratings.

For women with lower levels of education, some healthcare professions are seeing the wage gap widen.

Beckman Coulter uses TriageGo, AI and machine learning to recommend triage acuity, says Sophia Henry, clinical consultant for the company.  

Humana brought the case against Walgreens in February 2022, claiming the retailer had inflated prescription drug prices for years.