Credentialing is an essential step to a hospital being paid by payers. Given all of the manual steps and data consolidation in this process, it’s easy to see why a number of tech-enabled CVOs have emerged. Here we discuss how these solutions function now and make our educated guesses as to where the tech is headed next.

Editing and submitting claims is a complex problem, with multiple vendor categories working to get a piece of the pie. While the goal—submitting a claim with the highest chance of reimbursement at the highest rate—the process is not. Here we breakdown how the different vendors take a role and how AI is being leveraged to optimize for approvals.

In healthcare operations, a clear and accurate picture of revenue and accounts receivable can mean the difference between profitability and losing millions of dollars. Revenue intelligence products aim to bridge the data gaps between steps in the revenue cycle to create actionable insights.

Elion teamed up with Brendan Keeler of Health API guy to provide this comprehensive overview of certified EHRs. While the subject is somewhat labyrinthine, we’ve done our best to help you understand what it means to be certified and whether it truly matters.

Denials pose a major risk to provider organizations’ revenue. Here, the team discusses how AI may offer new solutions to managing payer claims denials.

AI is revamping the billing department. While tech solutions over the last five years have primarily focused on the patient engagement step, newer solutions also work to predict patient capacity to pay, offer payment plans, and may even take on collections responsibility.

Contact centers create an enormous wealth of data. Here the contact center intelligence category is discussed, including how this data can drive business decisions and how buyers can differentiate products in the category.

Vendors offering AI contact center agent assistants are discussed. Products are differentiated based on healthcare-specific workflows as well as omnichannel contact center solutions vs. standalone AI agent assistant products.

The Elion team reviews how gen AI is impacting chatbots, allowing them to be more dynamic and manage patient queries in natural language. The AI conversational chat category is described in the context of other AI contact center software.

Revenue cycle automation is discussed, including RCM-focused products and vertical-agnostic products. UI automation, API integration, and AI-enabled UI navigation are compared.

In a continued discussion of AI prior authorization vendors, this article reviews vendors that offer prior authorization AI solutions for payers.

AI-enabled prior authorization solution are emerging to reduce the administrative burden. However, products are still largely specialized, with a focus on either drugs, procedures, or other categories (e.g. DME, therapy).

Clinical documentation can be a profoundly meaningful step in driving both RCM and clinical outcomes. However, it can be time-consuming and remains imperfect. AI offers compelling improvements, and the market is described.

Medical coding is expensive, inefficient, and error-prone, not to mention challenging to staff with high team member turnover. The team discusses the strengths of AI medical coding and considerations when choosing a AI coding vendor.

Chart prep can be an enormous burden for providers who are already stretched thin. AI summarization has the potential to summarize pages of patient information into a simple digest. Here, the team discusses use cases and the potential direction of this emerging market.

We’re seeing payers get tougher when it comes to prior authorization and claims denials, which is driving more and more back-office work for providers. As such, payer-facing AI phone calls offer an opportunity for reducing overall admin workload.

Three expert healthcare operators join team Elion to shed light on how they went about building homegrown AI solutions at their respective organizations from the ground up.

Despite being inefficient, costly, and prone to errors, phone calls are still one of the main ways patients and providers communicate in healthcare. Until recently, call centers and manual phone calls were the only way to accomplish the task, but with cost overruns and an increased focus on HCAHPS, more health systems are looking at implementing AI solutions for patient-facing phone calls

AI ambient medical scribes remain a popular vendor category in healthcare. In this article we discuss the state of the ambient scribe market as of Q2 2024

A comprehensive primer for provider organizations looking to make a technology purchase decision in the AI scribe category — covering everything from key components of a solution to best practices for evaluating vendors.

Team Elion distills the insights and takeaways on practical questions related to AI adoption in healthcare sourced from first-hand discussions with 20 technology leaders across US health systems.

Three clinical leaders join team Elion to discuss the current state of AI-driven clinical documentation tools and share learnings from early experiences implementing the technology.

Revenue Cycle Management experts from organizations like Brightline, Omada Health, Doctor on Demand, and Cedar breakdown what it takes to build up an RCM function from the group up as digital health provider.

An in-depth walkthrough of headless EHRs, including a definition of "headless" and a breakdown of two headless archetypes (with sample vendors for each).

A comprehensive deep dive into EHRs in digital health, including advice for operators thinking through build vs. buy as well as a step-by-step guide on how to navigate the selection process.

Veteran operators from firsthand, Allara Health, and Frame Fertility share insights on how to navigate EHR selection as a digital health provider.

Announcing Elion's EHR vendor comparison product. Save weeks of time on vendor evaluation and make better, more confident EHR decisions with the deepest, most comprehensive EHR dataset in the market.

A crash course on working with external contact centers – how to decide when to outsource, tips on selecting and contracting with vendors, and best practices for oversight.

Advice on navigating the scaling phase, with a focus on driving operational efficiency and improving people processes.

A walkthrough of the first phase of building a contact center – setting up your initial tech stack, hiring your team, and laying the groundwork to scale.

A brief primer on contact centers in healthcare, including what they are, common types, and how to define your requirements.

The practitioner’s guide to TEFCA and QHINs – what TEFCA is, why it exists, and its practical implications (including an overview of the first six applicant QHINs).

Industry veterans from some of digital health’s most iconic companies like Oscar, Cityblock Health, & Collective Health share insights on how to build and scale contact centers.

An in-depth guide breaking down everything digital health providers need to know to develop their interoperability strategy.

Insights from product leaders at Flexpa, Redesign Health, and Medidata on the fundamentals of interoperability for digital health providers.

Hard-won lessons from experts at Oak Street, firsthand, and Pearl Health on how to build a value-based care tech stack.

Helping healthcare builders make better, faster technology decisions.