The momentum of value-based care is poised to accelerate. The Centers for Medicare and Medicaid Services has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into ...

Claim denials can be a huge headache for healthcare providers. In fact, one survey found that private payers initially deny 15 percent of medical claims. Worse? Providers end up spending almost $20 ...

This is what Heather Lavoie, president and CEO of Geneia, a population health analytics company, has been hearing from providers: The unprecedented drop in service volume during the pandemic has led ...

Nearly three in four providers say payers deny treatments they prescribe some of the time. More importantly many indicate this happens too frequently, takes up too much time and a significant number ...

Provider directories are widely inaccurate, with conventional directories slightly outperforming MR directories in accuracy. MR directories have potential for accuracy improvement but lack regulatory ...