New Day Partners

Better AI + Correct Provider Guidance = Fewer Denials? https://lnkd.in/eb-EBYSu

Our newest Policy Explainer Podcast explores the Two-Midnight Rule. Check out a clip here! #TwoMidnightRule #PaymentPolicy

How does the Two-Midnight Rule affect payers? This article highlights some perspectives

The Two-Midnight Rule creates a complex intersection between medical judgment, financial reimbursement, and patient care. While it was designed to standardize inpatient admissions and control healthcare costs, it raises concerns about financial pressures on healthcare providers, confusion for patients, and the potential for suboptimal care decisions.

"In the field of medicine, the advent of AI therefore comes with soothing words from its developers — 'it augments not replaces'"

Learn all about APR-DRGs, Outliers, and Carve-outs in our newest episode of NDP's Policy Explainer Podcast!

Fierce Healthcare reports that 56% of payers see the opportunities for AI to improve operational efficiency

Meet Genie?? - Your Hospital Bill Review Assistant

Check out the first full episode of the Policy Explainer Podcast - made by AI! We used Google's NotebookLLM to make a podcast from publicly available payment policies. By prompting the tool to explain the topics to a general audience, it produced a succinct and informative podcast summarizing and synthesizing the information it was given, and it even added jokes!

Some interesting thoughts about what the future holds for prior authorizations!