Leveraging Your NCQA Data to Enhance Your Bottom Line
The National Committee for Quality Assurance (NCQA) published its 2024 health plan ratings, prompting health care payers and insurance companies to take a good hard look at the results and…
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Preparing for 2025: Medicare Changes and Increased Premiums
Medicare is set to undergo significant changes in 2025 that will impact all parties involved in these plans. Whether you are an existing beneficiary, looking to enroll, or a provider…
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Presentation Matters: Telehealth Settings Impact Patient Satisfaction
Since its rise in 2020, it’s safe to say telehealth is now a fixture of many people’s medical care. However, there is a lot of variation in telehealth visits –…
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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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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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