The No Surprises Act: What Does it Mean for Insurers?
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…
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California Expanding Their Mental Health Parity Act
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…
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COVID Exacerbates Network Inadequacy for Children’s Behavioral Health Providers
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…
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COVID’s Impact on Children’s Behavioral Health
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…
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Lower Health Care Costs by Addressing Social Determinants of Health
The Cost of a Healthy Life The American Hospital Association reports socioeconomic factors are responsible for approximately 40% of a patient’s health outcomes. Inequities in patient populations better known as…
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Maintaining a Healthy Provider Network: Resolve & Prevent Network Inadequacy Fines
The Texas Department of Insurance fined Humana $700,000 in 2018 for network inadequacies caused by an insufficient number of anesthesiologists in two counties. The loss of revenue combined with the…
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