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William Chan, cofounder and CEO of Iodine Software, details how artificial intelligence helps providers in two key areas: denials and revenue leakage.
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.
Clinical data could help health plans make more precise coverage decisions while reducing friction for patients and providers, says Dr. Donald Rucker, chief strategy officer at 1UpHealth.