Claims Processing

Anthem starts its own PMB
Oct 20, 2017 | Susan Morse
Anthem, CVS Health sign 5-year deal for new pharmacy benefits manager, IngenioRx, dealing a blow to Express Scripts.
Oct 17, 2017 | Liz Szabo, Kaiser Health News
Total costs of Kymriah and 21 similar drugs in development - CAR T-cell therapies - will reach $1 million or more per…
heart device failure
Oct 02, 2017 | Kaiser Health News
Officials said the $1.5 billion lost from 2005 through 2014 was a "conservative estimate" while patients paid $140…
St. Francis Hospital web-bots to help payers
Oct 02, 2017 | Bill Siwicki
St. Francis Hospital used web-bots to replace manual queries to payers, yielding instant transactions that…
Change Healthcare blockchain
Sep 25, 2017 | Tom Sullivan
Using the Linux Foundation's open source HyperLedger Fabric will enable Change's customers to work on…
blockchain in healthcare payer and providers
Sep 18, 2017 | Mike Miliard
By giving patients control over their data, the technology could enable better privacy protections, more efficiency and easier…
health data exchange
Sep 08, 2017 | Mike Miliard
Mackinac enables easier collaboration, expedited document sharing between providers and payers, Hyland says.
Predictive analytics in healthcare
Aug 23, 2017 | Mike Miliard
Engaging with different stakeholders and coaching care teams has helped the health system realize a 40 percent…
Aug 21, 2017 | Change Healthcare
Here's what you need to know about taking claims management to a higher level.
Aug 10, 2017 | Susan Morse
Just 11 percent of members age 60-plus in the J.D. Power survey said they had received communication from…