Telehealth Waivers: A Looming Compliance Challenge for Health Care Networks
The telehealth revolution, accelerated by the pandemic, has transformed health care delivery. A critical deadline looms on September 30th, threatening to roll back key access points for millions of Medicare…
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Making Real-Time Prescription Benefit Tools Work for Your Network
A recent study published in JAMA Network Open is a valuable teaching tool for technology-focused health insurance executives. The study, titled “Prescription Use and Spending After the Introduction of a…
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Revolutionizing Health Care: The Power of Multimodal AI
Unlock the future of medicine in our latest video, Revolutionizing Health Care: The Power of Multimodal AI. Witness how the next wave of artificial intelligence is transforming patient care by…
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The Unseen Impact: How Price-Fixing Lawsuits Are Reshaping Health Insurance Provider Networks
For health insurance executives focused on the bottom line, understanding the evolving landscape of provider networks is paramount. A significant development is unfolding in the courts that could redefine how…
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The Invisible Threat: Understanding and Overcoming Ghost Networks
The integrity of your provider network is fundamental to member satisfaction, regulatory compliance, and ultimately, your bottom line. However, a pervasive issue known as "ghost networks" continues to undermine these…
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The Link Between Physician Efficiency and Healthcare Network Adequacy
A recent study conducted by Med School Insiders found quite a bit of variation in the number of patients seen by physicians across different practice areas. Orthopedic surgery, diagnostic radiology,…
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