Author: TOG Network Solutions

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Medicare Advantage Changes Its Quality Score Algorithm

BY TOG Network Solutions | Dec 11, 2024

Are you among the many health insurers dissatisfied with your most recent Medicare Advantage (MA) quality score? Unfavorable evaluations of customer support centers were the leading reason many health insurers…

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picture of a cup of coffee with a diagram breaking down health care into access, cost, and quality

Leveraging Your NCQA Data to Enhance Your Bottom Line

BY TOG Network Solutions | Dec 11, 2024

The National Committee for Quality Assurance (NCQA) published its 2024 health plan ratings, prompting health care payers and insurance companies to take a good hard look at the results and…

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Community Health Plan Losses May Impact Premiums

BY TOG Network Solutions | Nov 13, 2024

Experts predict community health insurance providers will lose a substantial amount of funds as the year comes to a close. The Alliance of Community Health Plans expects these insurers to…

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open enrollment on signage with cup of coffee and stamp nearby

Health Plan Strategy is Key During Open Enrollment Period

BY TOG Network Solutions | Nov 07, 2024

For nearly every state, November 1st marked the start of open enrollment season. This was met with mixed responses from some since many subscribers are still adjusting to the news…

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paperwork that reads your health insurance plan

Decoding the New Mental Health Coverage Rules for Private Health Plans

BY TOG Network Solutions | Oct 22, 2024

Just a few weeks ago, new legislation was finalized that stands to impact subscriber benefits in the behavioral health arena. This set of regulations is closely aligned with federal legislation,…

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What the Rise in Male Cancer Rates Means for Your Network

BY TOG Network Solutions | Oct 09, 2024

A new study led by the American Cancer Society has pointed out an alarming trend in the incidence of cancer among men. This research found that new, worldwide cancer cases…

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