Optimize Your Health Plan’s Provider Network With Our Comprehensive Guide
A high-performing provider network is essential for a successful health plan. It can help you attract and retain members, improve quality outcomes, reduce costs, and bolster financial performance. However, moving…
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How Insurers Can Minimize Effects of Unexpected Medication Shortages
Many companies (including but not limited to health care organizations) experienced the negative effects of supply chain shortages during the COVID-19 pandemic. However, there are other reasons for such supply…
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Out-of-network: What Does it Really Mean for Members?
Most people who have health insurance are at least somewhat familiar with the term 'out-of-network.' Those who work in the health insurance industry likely explain this concept to members often.…
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Organizations Attempt to Retain Staff as Medicaid Rate Negotiations Continue
Medicaid rate changes continue to impact health care providers in all practice areas. But many people don’t know that most legislators agree a rate increase is key to the continuation…
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Enrollment Surges are Placing Strain on Affordable Care Act Infrastructure
Just over 13 years after it was first enacted, the Affordable Care Act (ACA) seems to be experiencing major infrastructure issues. Unlike some systems issues of the same nature, this…
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New Pricing Transparency Rules Favor In-network Data
Price transparency has been a hot topic over the past few years. It all began with the Hospital Price Transparency Rule, which was passed in 2020 just as the COVID-19…
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