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Sixty percent of all healthcare payments are in some form of value-based care, says Dave Snow, CEO of Cedar Gate Technologies.
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.
To collect all the money they're owed, hospitals should ensure they have proper coding and pricing for services and look for community funding, says Kelly Arduino, Healthcare Industry Leader at advisory firm Wipfli.