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Editors from Healthcare IT News, MobiHealthNews and Healthcare Finance News sit down for a discussion about what the new year might hold.
Payer-provider collaboration in data exchange is being mandated and payers must speed up the prior authorization process, says Courtney Yeakel, chief product officer of the Payer Unit at Veradigm.
Providers in six states face new financial risks and training burdens under mandatory WISeR review, which leverages machine learning to control costs and expedite care. It's going to be "a steep learning curve," says Jeff Ladner, CPO at Onspring.
Real-world encounter data shows individuals enrolled in a MA plan are more likely to have a chronic condition than those who sign up for original Medicare, says Inovalon's VP of research science and advanced analytics, Christie Teigland.