Oncologist Shortage: Is Your Network Adequacy at Risk?
The health care industry has been grappling with staffing shortages in recent years, but the field of oncology is facing a particularly critical challenge. The number of oncologists, especially in…
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What Payers Need to Know About the Changing Medicare Advantage Landscape
Recent data shows that Medicare Advantage (MA) spending surged in 2023. This comes along with a number of enrollment and other member-related trends that payers should also be aware of.…
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Navigating Digital Transformation in Health Care
Health care is often recognized as a quickly changing industry, and the technology sector is quite similar. For this reason, health technology is something payers should especially keep up-to-date on.…
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Medicaid Members To See Continued Coverage Through Mid-2025
Individuals who currently participate in Medicaid waiver programs are getting an additional year of benefits. CMS made this decision in an effort to boost retention for eligible Medicaid recipients. As…
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Essential Metrics for Your Health Plan’s Member Satisfaction
Member satisfaction has always been a strong barometer for health plan success. When looking at commercial payers, the most recent J.D. Power U.S. Commercial Member Health Plan Study found that…
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New Legislation Aims to Prevent Falls and Decrease Opioid Usage in Older Adults
Among those 65 and older, the Centers for Disease Control reports falls are the leading cause of injury deaths and responsible for nearly 3 million emergency department visits each year.…
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