by TOG Network Solutions | Apr 17, 2024 | Health & Wellness, Provider Network
Vaping has been highly criticized due to its negative health effects, especially as the Food and Drug Administration (FDA) has cracked down on banning flavored e-cigarette products. As vaping use has increased among adolescents and young adults over the past decade,...
by TOG Network Solutions | Apr 15, 2024 | Health & Wellness, Provider Network
Recent legislation proposed by the Biden administration aims to address member dissatisfaction with insurance approval wait times. If passed, this rule will apply to prior authorization requests through government insurance plans and could go into effect starting in...
by TOG Network Solutions | Apr 2, 2024 | Health & Wellness, Provider Network
With ongoing medication shortages and astronomical costs for specialty drugs, nearly all members can benefit from medication savings. Furthermore, managing costs helps payers keep reimbursement rates steady for their partners. TOG has identified several tools that can...
by TOG Network Solutions | Mar 28, 2024 | Provider Network
Navigating the intricate dance of network adequacy, provider relationships, and regulatory compliance can feel like a continuous tightrope walk. These responsibilities are crucial for member satisfaction and organizational health, yet they often need to be juggled...
by TOG Network Solutions | Mar 8, 2024 | Health & Wellness, Provider Network
Network inadequacy can create a big headache for health plans, so payers should give special attention to any legislative changes (either proposed or finalized) to these policies. One potential change is related to Medicaid and managed care access standards. Since the...