Payer Operations

Helpful guides and information relating to medical management, provider relations, partnerships, vendors and more!

asc market share,asc acquisitions,asc mergers
By Will Schmidt February 5, 2026
Find the latest ASC market share, mergers, and acquisitions details. Article updated regularly. The who, what, when, financial impact, and more.
hospital closures,financial mismanagement,healthcare access
By Will Schmidt January 20, 2026
An in‑depth look at U.S. hospital closuresdue to poor financial and/or operational mismanagement; who, what, where, when, and lessons learned.
ai prior authorization, healthcare authorization automation, prior authorization compliance
By Will Schmidt January 12, 2026
A practical analysis of AI prior authorization—cost savings, automation benefits, compliance risks, and why payer-defined rules still matter most.
medical coding ai,chatgpt billing compliance,ivecoder software
By Will Schmidt December 23, 2025
Explore why ChatGPT falls short for compliant medical coding and how iVECoder, with AMA licensing and CMS updates, offers a safer, more accurate solution.
provider relations guide to reducing denials and improving compliance
By Will Schmidt December 23, 2025
Step-by-step strategy for provider relations teams to reduce denials, speed up payments, and use AI-enhanced Excel tools to support clean claims.
aapc conferences,aapc conference impacts,aapc conference as a vendor
By Will Schmidt December 12, 2025
A strategic review of AAPC HEALTHCON—who it serves, how it operates, attendee value, sponsor ROI, and why it primarily benefits provider-side billing professionals.
payer marketing,payer marketing guide,free guide to healthcare marketing
By Will Schmidt March 18, 2025
How to gain more providers, more members, and increase retention, all through this free payer marketing strategy guide.
doge healthcare,doge impact on healthcare
By Will Schmidt February 11, 2025
Real-time article chronically DOGE's auditing of CMS and US Healthcare costs to help reduce the cost of healthcare and save taxpayer spending.
Healthcare Mergers,Healthcare Acquisitions,healthcare m&a,what to expect in a healthcare acquisition
By Will Schmidt January 28, 2025
How to navigate the healthcare merger and acquisition market in 2026. Strategies, tips, real-life scenarios, and guidance from PCG's CSO, who's been through them, on both sides of the table, and lived to tell about it.
oig audit,oig audit process
By Will Schmidt January 21, 2025
Explore OIG penalties, audit risks, and de-delegation fallout—plus how to safeguard your plan with better oversight and AI-driven claims defense.