Category: Provider Network

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Should Your Health Plan Cover GLP-1 Agonists?

BY TOG Network Solutions | Jan 23, 2025

With the new year upon us, many people are focused on weight loss and weight management. This is an apt resolution for many, as the Centers for Disease Control and…

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New Year, New Rules: Mastering Health Care Price Transparency

BY TOG Network Solutions | Jan 22, 2025

Significant changes are set to take place this year that will enhance price transparency in health care, impacting all parties, including providers, payers, and even patients.With national health care spending…

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Medicare Advantage Changes Its Quality Score Algorithm

BY TOG Network Solutions | Dec 11, 2024

Are you among the many health insurers dissatisfied with your most recent Medicare Advantage (MA) quality score? Unfavorable evaluations of customer support centers were the leading reason many health insurers…

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Leveraging Your NCQA Data to Enhance Your Bottom Line

BY TOG Network Solutions | Dec 11, 2024

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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Health Plan Strategy is Key During Open Enrollment Period

BY TOG Network Solutions | Nov 07, 2024

For nearly every state, November 1st marked the start of open enrollment season. This was met with mixed responses from some since many subscribers are still adjusting to the news…

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Decoding the New Mental Health Coverage Rules for Private Health Plans

BY TOG Network Solutions | Oct 22, 2024

Just a few weeks ago, new legislation was finalized that stands to impact subscriber benefits in the behavioral health arena. This set of regulations is closely aligned with federal legislation,…

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