- In January 2024, Mastercard announced a medical claims payment partnership in India, leveraging its virtual card technology. This initiative aims to streamline payment processes within the healthcare sector
- In January 2024, The General Insurance Council in India announced that hospitals with 15 beds and registered under the Clinical Establishment Act can now offer cashless hospitalization. This move aims to make healthcare more accessible for policyholders
- In April 2024, In a collaborative effort to promote the adoption of value-based care, the American's Health Insurance Plans (AHIP), the American Medical Association (AMA), and the National Association of Accountable Care Organizations (NAACOS) released a playbook outlining voluntary best practices. This initiative specifically targets the private sector, aiming to accelerate the shift from traditional fee-for-service models to those that prioritize patient outcomes and quality of care
- In December 2023, The Centers for Medicare and Medicaid Services (CMS) in the US aimed to have all traditional Medicare beneficiaries under a value-based care model by December 2023, emphasizing the successful use of electronic health records for documentation and reporting. This highlights the ongoing shift towards outcomes-based reimbursement
- In August 2023, Codoxo, a US-based company specializing in AI, launched ClaimPilot, a generative AI product designed to enhance healthcare cost containment and payment integrity programs. This innovation aims to improve efficiency and reduce workforce constraints by automating in-patient and facility claim audits
