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The reach of the cyberattack is a looming crisis for providers' financial stability, particularly in rural areas, and could soon impact patient care, said Ted Okon of the Community Oncology Alliance.

The health plan will host Epic's Payer Platform on Google Cloud with an eye toward building "an intelligence system equipped with AI to deliver valuable analytics and insights to healthcare workers, patients, and members."

Most health plans leaders are investing in technology for digital transformation as the primary way to achieve organizational goals.

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

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.