Whitepapers

Most payer organizations agree AI will reshape underwriting, claims and operations. But many initiatives still struggle to move beyond isolated pilots. The challenge is no longer whether AI matters. It’s how to operationalize it responsibly. This new white paper examines…

EMS reimbursement pressures are rising as audits, denials and documentation scrutiny intensify across the industry. As payer analytics become more sophisticated, EMS organizations are facing growing pressure to justify every transport, document every modifier accurately and prevent revenue leakage before…

For small and rural hospitals, today’s interoperability requirements are reshaping where revenue cycle pressure lands first: at the front end. Real-time eligibility verification, advance explanations of benefits and faster prior authorization aren’t just technology updates, they are operational shifts that…

Members with serious illness often experience fragmented care, avoidable hospitalizations and repeated emergency department visits before receiving meaningful support. For health plans, the result is rising utilization, higher costs and growing pressure to improve quality performance across Medicare, Medicaid and…

2026 marks an unprecedented convergence of forces that will reshape the market landscape: This executive brief reveals why traditional gap closure programs are failing and how diagnostic intelligence enables the shift from retrospective campaigns to continuous, real-time quality management. Healthcare…

Most health systems have built programs that deliver results for specific populations: cancer patients, high-risk cardiology cases, post-discharge transitions. The harder question: what happens to everyone else? Rising-risk patients with one or two chronic conditions often cycle through primary care…

Referrals are one of the highest-volume workflows in healthcare and one of the most broken. In one large health system study, only about 54 percent of inbound internal referrals were completed. That gap represents more than lost revenue. It reflects…

Venous thromboembolism (VTE) is the third leading cause of cardiovascular death after heart attack and stroke, yet receives far less institutional attention than either. Nearly 900,000 Americans are affected by VTE each year, and an estimated 100,000 die annually. The…

Medical supplies now account for 10.5% of the average hospital’s budget — yet many hospital pharmacies still rely on manual counts, spreadsheet logs and barcode workflows that lose visibility the moment inventory leaves the central pharmacy. As drug costs rise,…

Healthcare procurement is under pressure from every direction including rising costs, supply uncertainty and growing expectations for quality. New research based on a national Advisory Board survey of over 100 health system supply chain and executive leaders reveals how organizations…