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AI is no longer theoretical in revenue cycle operations. Healthcare organizations are already seeing measurable gains: faster payer payments, fewer denials and improved workforce efficiency. The challenge is knowing how to measure success. This whitepaper outlines the specific KPIs healthcare…
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Ambulatory organizations face tightening margins, staffing volatility and increasing regulatory scrutiny — all while patient expectations rise. Just staying compliant isn’t enough anymore. To grow sustainably, ASC leaders must build systems that drive engagement, elevate care and free up bandwidth…
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Musculoskeletal spend is a top driver of healthcare costs—but it’s also one of the few areas where plan-year savings are realistic when AI-care is applied early. New research shows that when members begin MSK care through an AI-enabled, virtual-first care…
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Medical loss ratios are crossing 90%, and traditional payment integrity models can’t keep up. Teams waste months digging through CMS policies and contracts, only to generate rules that may never yield savings. Meanwhile, improper payments keep climbing. This whitepaper outlines…
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Payer-provider relationships have long been challenged by administrative complexity, inconsistent requirements and misaligned incentives. These issues can contribute to care delays, payment delays and unnecessary friction for both organizations. Inconsistent requirements, duplicative documentation and misaligned incentives have made even routine…
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Replacing just one primary care physician can cost up to $900,000 in lost revenue annually. Yet many health systems still treat staffing like a back-office function — not a strategic as a critical lever for care delivery innovation, physician retention,…
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American hospitals face an unprecedented convergence of crises threatening patient access to care. Hospital occupancy has surged to 75%—an 11-percentage-point increase from pre-pandemic levels—and is projected to reach a critical 85% threshold by 2032. At the same time, observation patient…
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This white paper examines how rising healthcare costs can cause patients to delay or decline care and ASCs could be feeling the impact. Traditional payment models can create unnecessary administrative burden and offer little flexibility for patients or practices. It…
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AI has moved beyond the buzz. From staffing efficiency to early deterioration detection, top health systems are delivering real ROI without abandoning human oversight. In this report, executives from Duke Health, HCA Healthcare, Beth Israel Lahey Health and AdventHealth DeLand…
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Payers and providers are widely using AI — but most aren’t seeing full value. Despite near-universal adoption, a nationwide survey conducted with Becker’s Healthcare found fewer than half of organizations are fully committed to using AI to transform outcomes and…
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