Tag: patient care

Building Bridges in Healthcare and Insurance: How Collaboration Lowers Costs and Improves Care

Guest Author
Healthcare and Insurance

Sharing Expertise for Better Coverage and Outcomes Healthcare and insurance are deeply connected—both fields thrive on teamwork. When doctors, nurses, insurers, and pharmacists align their efforts, patients benefit from smoother care and fewer financial surprises. By combining clinical expertise with insurance knowledge, professionals create a system focused on cost-effective, high-quality outcomes. Insurance providers play a key role here. Whether connecting patients with in-network specialists or ensuring treatments align with coverage plans, collaboration helps avoid unexpected bills. Imagine a collaborating doctor working with insurers to pre-approve a surgery or medication. This…

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Tragedy, Reform, and the State of Health Care – A Look at UnitedHealth Group

Marc
Health Care

A Shocking Loss That Shook a Nation The murder of Brian Thompson, the CEO of UnitedHealth Group’s UnitedHealthcare division, stunned the country in December 2024. Thompson, a 50-year-old husband and father of two, was fatally shot while walking to a company meeting in New York City. It was a crime that not only horrified his colleagues and family but also put a harsh spotlight on the broader frustrations with the U.S. health care industry. The accused, Luigi Mangione, reportedly had grievances about systemic issues in the health care system. He…

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The Impact of AI on Medicare Advantage Claims Denials

Angela Linders
Medicare Advantage Claims Denials

A Growing Concern for Healthcare Providers In recent years, the integration of artificial intelligence (AI) in the healthcare sector has sparked significant debate, especially concerning its role in Medicare Advantage claims denials. As hospitals face mounting administrative burdens, the use of AI by insurance companies has been scrutinized for potentially prioritizing cost-saving measures over patient care. The Rise of AI in Insurance Between 2019 and 2022, insurance companies like UnitedHealthcare, Humana, and CVS began increasingly employing AI tools to automate the prior authorization process. These technologies, while designed to streamline…

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7 Vital Skills Every Nurse Should Master

Guest Author

Nurses work with doctors and ensure that the patients receive the best medical care. They are the right-hand of doctors and provide support to all healthcare workers and patients simultaneously. Nurses worldwide often work for long hours; still, they are mostly found in high spirits. They perform their medical duties with vigilance and give emotional support to the patients and their families. Nurses are the backbones of the healthcare sector, and without their contribution, the medical industry cannot survive.  Nurses deal with all types of people and often handle people in…

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