Cardiovascular Disease Management: How Network Intelligence Protects Payer Margins During American Heart Month
Is cardiovascular disease a clinical priority or a financial risk for your health plan? In a market where heart disease remains a leading driver of high-cost claims and MLR instability,…
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TOG Provides Contract Negotiation Support for Health Care Providers
TOG Offers Unmatched Health Care Provider Reimbursement Analysis Success in contract negotiations with payers or health insurers often depends on access to verified data. Many health care providers enter these…
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How Maternal Health Network Strategy Drives Better Outcomes and MLR Stability
National Maternal Health Awareness Day serves as a critical reminder that maternal care is more than a clinical priority. It is a fundamental business imperative for the health care ecosystem.…
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How Can Safety Net Health Plans Achieve Predictable Success Through Network Intelligence?
The management of provider networks is often relegated to a retrospective compliance function within managed care organizations. However, as medical expenses rise and margins tighten, leading plans are shifting their…
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How the ACA Subsidy Lapse Impacts Provider Network Revenue and Stability
The U.S. House of Representatives recently passed a health care package that does not include an extension for enhanced Affordable Care Act (ACA) subsidies. For health care executives managing provider…
Read MoreAre You Relying on Unverified Data for Your Next Health Care Acquisition?
Acquiring a health care provider practice is high-stakes. Relying on simple financials leaves you vulnerable to hidden risks and faulty valuations. The foundation of every successful deal is precision network…
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