Financial/Revenue Cycle Management
Prior authorizations in particular are a complex, time-consuming function that would be well served by technology.
The Wall Street Journal says Big Blue is pondering ways it might off-load the healthcare AI subsidiary, and IBM CEO Arvind Krishna has already signaled a ''maniacal focus" on hybrid cloud development.
The Department of Justice described the case as involving one of the "largest healthcare fraud schemes in United States history."
The Biden administration this week announced the latest round of appointments to the U.S. Department of Health and Human Services.
Prior authorization continues to be the area with the lowest adoption rate, with only 21% of medical plans having fully electronic transactions.
The report by Foley & Lardner found that 43 states and D.C. have implemented a version of a state telehealth commercial payer law – although payment parity policies lag behind.
More than 20 people showed up in person to testify in favor of the bill at a committee hearing this past month.
Other winners include Galen Healthcare Solutions as the top overall IT services firm, Chartis Group as top overall healthcare management consulting firm and IBM Watson Health's Merge PACS as most improved software product.
"If the benefits of electronic health records are to be fully realized, patients must be confident providers have selected the most effective system – not the one paying the largest kickbacks," said one federal agent.
The United States needs a unified and timely quality measurement and reporting system, said the organization – noting that the current model is both inconsistent and largely retrospective.