Claims Processing

The collaboration will use the FHIR Accelerator CodeX to enable automation between payers and providers, with the goal of improving access to radiation treatment for cancer patients.  

Researchers found remote patient monitoring use among Medicare beneficiaries increased from 91 claims per 100,000 enrollees in February 2020 to 594 claims per 100,000 enrollees in September 2021.

With a House bill that would extend Medicare telehealth flexibilities through 2024 set to be debated this week, the American Telemedicine Association is asking policymakers to safeguard two other key provisions.

Oklahoma Cancer Specialists and Research Institute offers a case study in selecting and implementing information technology for the Radiation Oncology Alternative Payment Model.

The proposed rule seeks to expand behavioral healthcare access, Accountable Care Organizations, cancer screenings and dental care.

The transaction, meant to bolster Evolent's value-based specialty care offerings, could eventually be worth an extra $87 million, depending on future performance milestones.

Twenty-five states have restrictions on coverage of abortion, while in the others insurance carriers determine what their plans will include.

Members will be able to tap into digital therapeutics, including one addressing mental health needs during pregnancy.

The public health emergency was extended again, but it won't last forever. One healthcare attorney discusses steps health systems should take to mitigate legal risks of telehealth and virtual care once the regulatory reprieve expires.

Small changes in income can cause people's eligibility to shift between California's ACA and Medicaid programs. When bad information is typed into – or accurate information is deleted from – a shared computer system, enrollees can get big headaches.