New Year, New Rules: Mastering Health Care Price Transparency
Significant changes are set to take place this year that will enhance price transparency in health care, impacting all parties, including providers, payers, and even patients.With national health care spending…
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Medicare Advantage Changes Its Quality Score Algorithm
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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Leveraging Your NCQA Data to Enhance Your Bottom Line
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
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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Health Plan Strategy is Key During Open Enrollment Period
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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Decoding the New Mental Health Coverage Rules for Private Health Plans
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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