Lack of Trust, Not Technology, is What’s Stopping Health Plans from Meeting Their Mission and Financial Objectives

Healthcare often expects consumers to contort themselves around processes that were never built with them in mind — and that’s where the trust issue begins. With the looming arrival of HR1, how to fix it. The post Lack of Trust, Not Technology, is What’s Stopping Health Plans from Meeting Their Mission and Financial Objectives appeared…

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How PE Is Adjusting Its Healthcare Playbook Now that It’s Under the Microscope

Lawmakers are applying increased scrutiny to private equity’s involvement in healthcare, particularly when it comes to physician practice roll-ups. But investor Matthew Bennett argues the pressure is reshaping rather than shrinking the sector, pushing firms away from roll-ups and toward strategies focused on improving outcomes and using technology to boost efficiency. The post How PE…

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Designing a National-Scale FHIR API Ecosystem Using Apigee: Architecture Patterns for Secure Healthcare Interoperability

Despite the widespread adoption of electronic health records (EHR) over the last couple of decades, essential patient information often gets trapped within the walls of individual hospital systems. Here’s a potential solution. The post Designing a National-Scale FHIR API Ecosystem Using Apigee: Architecture Patterns for Secure Healthcare Interoperability appeared first on MedCity News.

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Provider-Payer Tensions Brew in Courtrooms: 3 Recent Lawsuits

Disagreements between providers and payers have been moving into the courtroom over the past few weeks. The California Hospital Association sued Anthem over one of its out-of-network policies, Broward Health sued Florida Blue over alleged underpayment, and Jefferson Health sued Aetna over a Medicare Advantage hospital stay rule. The post Provider-Payer Tensions Brew in Courtrooms:…

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