Understanding healthcare claim denials: reasons & solutions

Experian Health’s State of Claims 2024 report reveals a worrying trend in healthcare claim denials, with nearly three-quarters of survey respondents reporting a rise. Around four in ten say claims are denied 10% of the time, with one in ten seeing denial rates above 15%. Denials at this scale, driven by various claim denial reasons,…

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MedCity Pivot Podcast: How the Right Payment Tech Can Foster Better Payer-Provider Relationships

Yusuf Qasim, president of payments optimization at Zelis, talks about how his company’s platform is seeking to rebuild the healthcare payment process. The platform aims to eliminate unnecessary manual work for both payers and providers. Watch or listen now! The post MedCity Pivot Podcast: How the Right Payment Tech Can Foster Better Payer-Provider Relationships appeared…

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Trump’s Health Fraud Focus at Odds With Past Pardons

Since returning to the White House, President Donald Trump has made combating fraud a centerpiece of his administration. Trump has said he will target fraud in Medicare, Medicaid, and Social Security programs, and his Republican allies in Congress have made combating fraud a key argument in their plans to slash Medicaid. Trump also has empowered…

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There is Still a Significant Need for Community Pharmacies

Losing these retail medication outlets creates more than just pharmacy deserts. In many low-income and underserved areas, drugstores also serve as grocery stores and hubs for essential services, and hence their closures mean communities lose crucial access points for a variety of goods and services. The post There is Still a Significant Need for Community…

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