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| Apr 21, 2026 | Why First-Pass Approval Rate Is the Only Payer Enrollment Metric That Actually Matters | Rahul Shivkumar. Co-founder of Assured What Is First-Pass Approval Rate in Payer Enrollment?
First-pass approval rate is the percentage of payer enrollment applications approved by an insurance payer on the initial attempt, without rejectio... |
| Mar 25, 2026 | The State of Medical Bill Operations in 2025 | Share
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Healthcare administration rarely looks dramatic from the outside, but the delays people feel often begin in billing queues, review loops, and status calls long before money moves. The U.S. healthcare industry s... |
| Jan 23, 2026 | The Great Unbundling is Over: Why Healthcare’s “Point Solution” Era is Dead | Madhu Pawar, Chief Product Officer at Optum Insight
We have reached point solution fatigue. The future of health care transformation depends on integrated platforms.
Have you ever wondered what happens once a patient’s insurance card is sca... |
| Nov 11, 2025 | MedTrainer's Newest AI-Powered Workflow Reduces Costly Errors and Delays in Credentialing Forms | AI Form Mapping automatically recognizes and connects form fields to MedTrainer's data fields, eliminating the need for manual linking. That means long, redundant credentialing forms can be reliably auto-filled instantly.
LAS VEGAS, Nov. 11... |
| Oct 20, 2025 | The $168B Answer: How AI Can Tame Healthcare’s Untamed Administrative Beast | Dushyant Mishra, Co-founder and CEO of RapidClaims
A quick google (or generative AI) search will pour hundreds of statistics about the dire state of healthcare costs plaguing our nation. Whether it’s the fact that we spend almost 5x as much... |
| Sep 30, 2025 | How Agentic AI Automates Healthcare Admin and Combats Burnout | Nate MacLeitch, CEO and founder of QuickBlox
Seventy minutes is enough time to complete a colonoscopy or a hernia repair; it’s also the average time saved per patient visit when healthcare providers use fully automated administrative workfl... |
| Aug 5, 2025 | MedTrainer Strengthens Its Position As the Leading Healthcare Workforce Compliance Platform for Mid-Size Organizations | MedTrainer is building on its strong foundation as a trusted leader in healthcare compliance software to better meet the evolving needs of the mid-market healthcare sector.
MedTrainer is building on its strong foundation as a trusted leader... |
| May 2, 2025 | Inaccurate Provider Data: The Biggest Obstacle to Value-Based Care | Eric Demers, CEO Madaket Health
Just months into office, the new administration is doggedly focused on reducing costs and increasing efficiency and transparency across a swath of functions. However, like many journeys, an emphasis is being ... |
| Dec 20, 2024 | Unlocking Value-Based Care Through Accurate Provider Data | Eric Demers, CEO of Madaket Health
There’s no better illustration of the healthcare system’s data problems than this: 80% of entries in the nation’s five largest health plans were inaccurate as recently as last year. With a majority of pati... |
| Nov 21, 2024 | Revitalizing Medicare Advantage: How The Push to Streamline Prior Authorization Will Impact Senior Care | Steve Kim, CEO of Valer
As a physician, the odds that you’ve had a negative experience related to the prior authorization process are (unfortunately) highly likely. According to the American Medical Association’s (AMA) 2023 Prior Authorizat... |
| Nov 14, 2024 | The Future of Healthcare: AI Takes the Lead | The healthcare landscape is shifting. Technology is the wind beneath its wings. Artificial Intelligence (AI) is not just a buzzword; it’s a game changer. Two recent partnerships illustrate this transformation. Cured by Innovaccer and CAQH w... |
| Nov 13, 2024 | CAQH and HiLabs Partner to Deliver Industry Leading Provider Data Solutions | Revolutionizing healthcare provider data with AI-powered accuracy
CAQH, the leader in healthcare data management and HiLabs, a pioneer in cutting edge, AI-powered solutions, announce a transformative new partnership. This collaboration refl... |
| Apr 17, 2024 | Maximizing Provider Directory Data to Improve Care Access and Quality | Eric Demers, CEO Madaket Health
In 2022, the Centers for Medicare & Medicaid Services (CMS) proposed the creation of a centralized physician directory. The proposal sought to address three pressing challenges facing both healthcare prov... |
| Aug 29, 2023 | Leveraging API Infrastructure to Avoid Healthcare Data Silos | Erica Jain, CEO and co-founder of Healthie
Healthcare providers depend on comprehensive patient data to make fast, informed decisions. Unfortunately, our existing healthcare ecosystem has evolved into a collection of data silos that have, o... |
| Aug 29, 2023 | Strategies for Successful Healthcare Provider Network Management | There’s a good reason why many clinics and hospitals outsource their provider network management. The process of credentialing and onboarding new physicians can be tedious at times, averting the company’s attention from things that matter, ... |
| Jul 19, 2023 | These are the 16 most promising healthcare startups of 2023, according to top VCs | Octave CEO Sandeep Acharya and Golee Abrishami, the head of clinical care. Octave This story is available exclusively to Insider subscribers. Become an Insider and start reading now.
We asked top VCs to name the most promising healthtech st... |
| May 17, 2023 | See the 19-slide presentation that got General Catalyst to back a startup tackling a $25 billion problem for hospitals | Adonis cofounders Aman Magoon, left, chief product officer, and Akash Magoon, CEO. Adonis This story is available exclusively to Insider subscribers. Become an Insider and start reading now.
Adonis was founded last year by two brothers to a... |
| Mar 23, 2023 | Study finds inconsistent data in insurers’ online provider directories | Patients rely on provider directories published by health insurers to find doctors. However, the directories are not always reliable, according to a new study by researchers at the University of Colorado School of Medicine.
The study – publ... |
| Mar 21, 2023 | Most Physician Directories Are Wrong—How Can Tech Help? | Amit Garg is CEO of Hilabs, a company that refines dirty data to unlock its hidden potential for healthcare transformation. |
| Feb 9, 2022 | Why 2022 will be a pivotal year for interoperability and the patient experience | Laptop and download file
I think we can all agree that healthcare has made significant progress over the past few years toward achieving interoperability. From the passing of the 21st Century Cures Act in 2016 to the global adoption of FHIR... |
| Nov 16, 2021 | Time is Money in Healthcare Administration. How Much Are You Losing? | Eric Demers, CEO of Madaket Health
Administrative complexity is a billion-dollar problem, riddled with human-led, hand-done steps that simply don’t need to exist.
In a given year, approximately a quarter to one-third of our healthcare spend... |
| Nov 5, 2021 | Contributed: Improving healthcare productivity with automation and opportunities for startups | Photo: Me789 Studio/Getty Images |
| Jul 26, 2021 | Modio Health Joins National Nonprofit Alliance, CAQH, To Simplify the Management of Healthcare Credential Data | SAN FRANCISCO (PRWEB) July 26, 2021
Modio Health, a technology company transforming the management of healthcare provider credentials, has joined CAQH, a national nonprofit alliance in creating shared initiatives to streamline the business ... |
| May 12, 2021 | Olive teams up with TriHealth to streamline health admin processes | AI-powered healthcare automation startup Olive is partnering with Cincinnati-based health system TriHealth to increase automation of revenue cycle management (RCM) processes like insurance claims status checks, as well as tasks on the clini... |
| May 7, 2021 | Revenue Cycle Management: What physicians and administrators need to know | Revenue cycle management (RCM) is an increasingly important part of healthcare IT that focuses on processes that collect revenue from patient care, especially but not exclusively around claim submission and insurance denials. Done correctly... |
| Apr 27, 2021 | Digital Transformation: 4 Moves Finance Leaders Can Make to Emerge Stronger | Sonia Singh VP of Center for Consumerism at AVIA
In this time of crisis, the U.S. healthcare system has struggled to safeguard lives and suppress the COVID-19 virus, while buckling under financial strains, low consumer confidence, and the b... |
| Apr 21, 2021 | CAQH Launches National Directory of FHIR Endpoints and Third-Party Apps | |
| Mar 2, 2021 | Payers are erecting higher hurdles to care: How can hospitals clear them? | In a recent white paper, the American Hospital Association claims the main purpose of these administrative barriers is to restrict access and inappropriately withhold reimbursement. Prior authorization was required for more procedures than ... |
| Feb 5, 2021 | Healthcare Can Save $16.3B Automating Administrative Transactions, Report Finds | What You Should Know:
– Each year, the US healthcare industry spends $39 billion on 9 administrative transactions, according to a new report from CAQH.
– The 2020 CAQH Index also uncovered that by automating these transactions, the industry... |
| Jan 27, 2021 | How Automation is Key to the Future of Healthcare Operations
Three Key Areas Where Automation Plays a Critical Role
Implementing IPA at the Organizational Level | Giri Rajaiah, Executive Leader, Vice President, Healthcare & Life Sciences, DISYS
As the saying goes, necessity is the mother of invention. A similar correlation is seen in the quest to leverage innovation and out-of-the-box thinking to... |
| Jan 29, 2013 | Cloud-based healthcare payment network InstaMed raises $1.5 million | The cloud-based healthcare payment company has carved a solid niche for itself and is poised to capitalize on the implementation of the Affordable Care Act’s operating rules that define guidelines and standards for making electronic healthc... |
| Payers can lead the way in modernizing commercial dental benefit administration | By automating commercial dental benefit administration, payers can lower costs and improve profitability while enabling better service to providers and members. However, simply acquiring and implementing the hardware and software will not a... |
| Why 2022 will be a pivotal year for interoperability and the patient experience | Laptop and download file
I think we can all agree that healthcare has made significant progress over the past few years toward achieving interoperability. From the passing of the 21st Century Cures Act in 2016 to the global adoption of FHIR... |
| Cloud-based healthcare payment network InstaMed raises $1.5 million | A healthcare payment network that has described itself as the PayPal of healthcare has raised $1.5 million, according to a Form D filing with the U.S. Securities and Exchange Commission.
Philadelphia-based InstaMed uses a private cloud netw... |
| Meet the 30 young leaders forging a new future for the healthcare industry in 2022 | Courtesy of CG Oncology; Chris Conroy Photography; Mahmee; Alyssa Powell/Insider This story is available exclusively to Insider subscribers. Become an Insider and start reading now.
A generation of leaders is changing the healthcare industr... |
| How next-generation automation technology can improve healthcare revenue management | Today, nearly every role in every industry is facing some level of disruption. We are tasked with achieving more with less – less time, less resources, less information, and often less support. No industry has experienced this more than hea... |
| Revenue Cycle Management: What physicians and administrators need to know | Revenue cycle management (RCM) is an increasingly important part of healthcare IT that focuses on processes that collect revenue from patient care, especially but not exclusively around claim submission and insurance denials. Done correctly... |
| Payers are erecting higher hurdles to care: How can hospitals clear them? | If you haven’t paid attention to the financial health of large insurers during the pandemic, it’s never been better. Unfortunately, the same cannot be said of hospitals and patients. Both are struggling to hurdle escalating barriers to sche... |
