by TOG Network Solutions | Jun 15, 2021 | Health & Wellness, Provider Network
In the case of health care services for subscribers, more options is usually not a bad thing unless providers are sacrificing quality care. Medicare’s most recent initiative, put into place January 1, 2021, focuses on modifying Direct Contracting models to emphasize...
by TOG Network Solutions | Jun 8, 2021 | Health & Wellness, Provider Network
Despite ever-growing hospitalization rates associated with COVID, health care providers and institutions are struggling to profit in today’s economy. Many hospitals and nursing facilities are seeing an influx of inpatient admissions due to respiratory illnesses and...
by TOG Network Solutions | Jun 1, 2021 | Health & Wellness, Provider Network
Due to legislation passed on December 22, 2020 as part of the COVID relief plan, patients who receive emergency medical services will have peace-of-mind due to fewer unexpected health care costs. As part of the “No Surprises Act,” (also known as the Act) patients will...
by TOG Network Solutions | May 25, 2021 | Health & Wellness, Provider Network
Starting in January 2021, California residents with substance use disorders and mental health concerns will now have greater access to coverage. The amendment to SB-855 expands on legislation from September 2020 that requires state-based insurers to follow...
by TOG Network Solutions | Apr 6, 2021 | Provider Network
Spurred by a recent analysis that found many top hospitals provided inconsistent cost-related information, hospitals will now be adopting new, clearer pricing materials. The Centers for Medicare and Medicaid Services (CMS) are now requiring all hospitals to clearly...
by TOG Network Solutions | Mar 24, 2021 | Provider Network
In January 2020, the District of Columbia issued an RFP for the D.C. Healthy Families Program, the District of Columbia Healthcare Alliance Program, and the Immigrant Children’s Program. These small-scale RFPs — which are expected to cover just under 200,000...
by TOG Network Solutions | Mar 3, 2021 | Health & Wellness
The large-scale disruption that is occurring in the lives of children will likely last through 2021. Consequently, there is a great deal of professional concern over the short-term and long-term impact of isolation in children who are being kept from a formative...
by TOG Network Solutions | Feb 25, 2021 | Provider Network
The coronavirus pandemic has impacted nearly all areas of our lives. This is especially the case with the insurance industry. One especially relevant outcome is the uptick in Medicaid and Children’s Health Insurance Program (CHIP) members that poses new concerns for...
by TOG Network Solutions | Feb 16, 2021 | Provider Network
Insurance carriers are under significant pressure to cut costs while continuing to support the recent pandemic-related surge in Medicaid enrollment. These expectations may make insurance companies question whether it makes sense to own or rent their provider network....
by TOG Network Solutions | Feb 10, 2021 | Health & Wellness
Children everywhere are feeling the unpredictable effects of COVID and the resulting societal change, including family insecurity, job loss, eviction, and domestic violence. This has led many kids to experience developmental regressions such as lapses with potty...
