payments Archives - HIT Leaders and News

The Margin Killers You’re Not Measuring

Jason Free — Tue, 10 Jun 2025 11:07:27 +0000

Hospitals have digitized. They have automated. They have consolidated. But despite more than a decade of transformation in revenue cycle operations, most health systems are still losing efficiency in one costly corner: the complex claims that do not fit inside commercial or Medicare billing templates. These edge cases such as Veterans Affairs encounters, workers’ compensation claims, TRICARE submissions, and motor vehicle accidents, consume disproportionate resources and often delay payment for months.

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Lyric Acquires ClaimShark to Expand Platform Value and Power Next-Gen AI Applications

Jason Free — Thu, 01 May 2025 20:56:37 +0000

Lyric, a leader in healthcare payment accuracy and integrity solutions, announced its acquisition of ClaimShark, an innovative payment integrity technology platform focused on enhancing integration, transparency, and precision for health plans. ClaimShark’s solutions will be integrated into the Lyric 42 Platform, Lyric’s AI-driven offering that provides health plans with comprehensive payment accuracy solutions. The acquisition marks significant progress towards Lyric’s mission to simplify the business of care – delivering smarter, faster, and more accurate transactions across the healthcare ecosystem.

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PatientPay Emerges as a Powerhouse in Healthcare Billing and Payments through a Strategic Merger with ClearGage

Jason Free — Fri, 06 Sep 2024 11:58:18 +0000

PatientPay, the leading patient billing and payments partner for acute, ambulatory and specialty care, and ClearGage, a leading provider of healthcare estimate and payment solutions, announced the close of their merger to deliver the industry-leading digital billing and payment platform for medical groups, specialty practices and community hospitals as PatientPay.

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Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated Payments to Part A Providers and Advance Payments to Part B Suppliers

Jason Free — Tue, 12 Mar 2024 13:37:49 +0000

The U.S. Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) recognizes the impact that the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare/Optum in late February (the Incident) has had on health care operations across the country.

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Fifth Third Announces Acquisition of Big Data Healthcare, a Payments Company Serving National Health Systems, Physicians

Jason Free — Thu, 09 Mar 2023 16:33:32 +0000

Fifth Third Bancorp announced a definitive agreement to acquire Big Data Healthcare, a technology solutions provider for healthcare payments and remittance. This transaction adds national healthcare revenue cycle capabilities, addressing the complex and complicated needs of clients, while building on Fifth Third’s legacy of digital innovation and focus on the healthcare sector.

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