CMS Passes Law Mandating Improved Hospital Cost Transparency
Spurred by a recent analysis that found many top hospitals provided inconsistent cost-related information, hospitals will now be adopting new, clearer pricing materials. The Centers for Medicare and Medicaid Services…
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The Impact of Managed Medicaid on Insurance Networks: Good or Bad?
In January 2020, the District of Columbia issued an RFP for the D.C. Healthy Families Program, the District of Columbia Healthcare Alliance Program, and the Immigrant Children’s Program. These small-scale…
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How Will Increased Medicaid and CHIP Enrollment Impact Your Provider Network?
The coronavirus pandemic has impacted nearly all areas of our lives. This is especially the case with the insurance industry. One especially relevant outcome is the uptick in Medicaid and…
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Own vs. Rent: What is the Best Way to Establish a Viable Provider Network?
Insurance carriers are under significant pressure to cut costs while continuing to support the recent pandemic-related surge in Medicaid enrollment. These expectations may make insurance companies question whether it makes…
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Is Your Provider Network Ready for Your RFP?
Last month, the Ohio Department of Medicaid (ODM) released a request for applications (RFA) to lead Ohio’s next-generation managed care program supporting more than 90% of Ohioans receiving health care…
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FQHCs: Add Them To Your Network Now
An estimated 40 million people have lost work, along with their health insurance, since the global pandemic appeared in the U.S. earlier this year. Many of these individuals will turn…
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