Payment Models

The tool can help health systems optimize submissions and better predict potential issues with claims, the company says, giving recommendations to help mitigate denials before they're submitted.

A new study from the company explores the ways its algorithms can be put to work improving risk scoring and stratification and enhance value-based care initiatives.

Established firms have good track records, but there are high-performing developing companies, too; as providers tackled bigger strategic initiatives beyond mere EHR rollouts, they need to weigh how much they value experience and performance, a new report shows.

"We think every problem can be solved with machine learning," says one AI and analytics expert. "That’s not the case."

FCC Commissioner Brendan Carr has announced the agency will vote to advance a $100 million Connected Care Pilot Program, enabling telehealth expansion for low-income Americans nationwide.

A natural language processing algorithm has been helping the New York health system gain new insights from its unstructured notes, boosting its value-based care and pop health efforts.

Researchers at Case Western Reserve University are developing an analytics platform to help determine the medical necessity of using helicopters for emergency transport.

Payers are sizing up the ledger technology for payments and claims processing, but one big area of growth could be next-generation personal health records.

New API also integrates with Precision Medicine Sync for Science program, the vendor said. 

DOJ says court documents show Carolinas upcoded numerous tests, triggering higher payouts from government programs.