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Avoid siloed information by connecting the back and front ends, says Andy Moreno, VP of revenue management at McKesson.
More than half of Medicare beneficiaries are enrolled in MA, and that number is expected to grow to 63%, says John Barkett, managing director at BRG's Healthcare Transactions and Strategy practice.
Starting on Jan. 1, 2027, payment will move from a lump-sum payment at the end of an episode – usually lasting 40 weeks – to more of a fee for service structure, says Anu Sharma, founder and CEO of Millie.
Connecting clinical data across health plans can reduce duplicate reviews and unnecessary outreach, says Dan DeSantis, VP of commercial strategy at Cohere Health.