An innovation council brought together some of the nation’s largest health plans to raise issues and look for ways to improve complex processes, including credentialing and provider data management.

For years, healthcare leaders have emphasized the importance of payer-provider collaboration. As margins tighten, regulatory expectations evolve and value-based arrangements expand, alignment between ...

HealthStream® (Nasdaq: HSTM), a leading healthcare technology platform company for clinical workforce solutions, announced today that Virsys12® has been recognized as a Leader in the IDC MarketScape: ...

In the rapidly evolving landscape of U.S. healthcare, the tug-of-war between payers and providers is continually intensifying, raising the stakes on the strategic maneuvers that shape the industry's ...

Payer-provider clinical data exchange plays a critical role in payer operations, helping streamline workflows and improve patient care. Traditionally, this exchange ...

As someone who has spent a career immersed in healthcare data and finance, I’ve had a front-row seat to the often-frustrating dance between providers and payers. In 2023 alone, approximately 425 ...

“Nobody knew healthcare could be so complicated”. Well, nobody except everybody that works in the business of healthcare, or has had to navigate the system as a patient, provider or payer.

The aim with a cloud-based deployment is to enable easier and more timely sharing of insights from payers and providers to help educate consumers as they navigate their care journeys, the companies ...

Reducing data silos and boosting transparency in oncology requires payer-provider trust and co-governance, according to Vishnukamal Golla, MD, MPH. Watch part 1 to learn about the frustrations payers ...

ATLANTA, Feb. 24, 2026 /PRNewswire/ -- LexisNexis® Risk Solutions has once again been named a Leader in the IDC MarketScape: U.S. Provider Data Management for Payers 2025-2026 Vendor Assessmenti. The ...