Out-of-network: What Does it Really Mean for Members?
Most people who have health insurance are at least somewhat familiar with the term 'out-of-network.' Those who work in the health insurance industry likely explain this concept to members often.…
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Organizations Attempt to Retain Staff as Medicaid Rate Negotiations Continue
Medicaid rate changes continue to impact health care providers in all practice areas. But many people don’t know that most legislators agree a rate increase is key to the continuation…
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Enrollment Surges are Placing Strain on Affordable Care Act Infrastructure
Just over 13 years after it was first enacted, the Affordable Care Act (ACA) seems to be experiencing major infrastructure issues. Unlike some systems issues of the same nature, this…
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New Price Transparency Rules Favor In-network Data
Price transparency has been a hot topic over the past few years. It all began with the Hospital Price Transparency Rule, which was passed in 2020 just as the COVID-19…
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Personalized, Affordable Health Plans Prove to be More Engaging
Nearly 88% of people looking for health insurance value personalization in their plans as much or more than they did one year ago. It’s no surprise that this number has…
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Role Clarity Improves Patient Outcomes
With a combination of medical jargon, abbreviations, and acronyms, it’s all too common for patients to be left in the dark about their health care treatment. That’s why the term…
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