Cutting Through the OBBBA Noise: Payer Impacts
The One Big Beautiful Bill Act (OBBBA) brings significant changes that healthcare payers must address to remain compliant, improve operations, and deliver value to their members. From Medicaid funding adjustments to ACA marketplace updates, OBBBA requires strategic preparations. Major Medicaid Overhauls OBBBA introduces changes to Medicaid funding, eligibility, and service delivery, creating challenges for payers […]
HCIM Cares: Supporting At-Risk Youth at The Christmas Box International
HCIM team volunteers with Christmas Box International during All Colleague Meeting, combining hands-on service with $5,000 donation for at-risk youth.
What You Need to Know: CMS Announces Aggressive Medicare Advantage Audit Strategy
With new resources, cutting-edge technology, and an expanded workforce, CMS is doubling down on its commitment to integrity and transparency across federal healthcare programs.
HCIM Colleagues Get Creative at A Kid’s Place
Giving back to the communities where we live and work is a cornerstone of the HCIM Culture. During our recent visit to Tampa, Colleagues spent the afternoon at A Kid’s Place painting bathrooms, decorating for an upcoming party, working in their donation room, and even provided a little support in their office. A Kid’s Place […]
Robotic Process Automation: An Overview
Robotic Process Automation (RPA) is the technology that allows the software to mimic human actions or interactions and execute business processes. Organizations are facing increased demands on resources, pressuring them to produce more with diminishing or overburdened personnel and RPA is a promising solution to overcoming these challenges. RPA has proven to boost business capacity […]
Streamlining Claims Management
Effective payer provider collaboration is key to reducing the cost of healthcare, and claims management is an integral component of that relationship. As many organizations focus on care management, they must also streamline claims management processes to evolve with changing reimbursement models. Training and new technologies are at the core of claims management improvement. Technology […]
CEO Insight: Healthcare Trends to Watch
The healthcare payer landscape changes almost daily and it can be hard to see the forest through the proverbial trees. It’s easy to get focused on the day to day and miss important trends that may have significant impact down the road. As we look to the future, it’s important to keep these key trends […]
Core System Replacement Considerations for Healthcare Payers
New payment methods, accountable care, consumerism and an increasing demand for effective subscriber engagement and management (which disrupts traditional operating models in the small to mid-sized payer market) are placing enormous pressure on providers to innovate and improve operational efficiency. Outdated core legacy systems may hinder a payer’s ability to respond rapidly to this evolving […]
CEO Insight: Obstacle or Opportunity? Three hurdles facing healthcare payers
These are challenging times for healthcare payers. Increasing aging populations, pressure to cut costs, and a focus on quality is requiring everyone to do more with less. By facing these challenges head-on, we can turn these obstacles into opportunity. It is through continued innovation and experimentation that we will improve health care delivery in this […]
Automation can help commercial healthcare payers and providers save over $11 billion annually
Although the healthcare industry has made some progress in automating claims-related business processes, new findings in the 5th Annual CAQH Index show that widespread adoption of automation processes can result in huge cost savings. The index suggests that full adoption of electronic transactions in the healthcare industry will result in potential savings of over $11 […]