Exploring the Untapped Potential of Effective Provider Network Management for Health Insurance Executives
Navigating the intricate dance of network adequacy, provider relationships, and regulatory compliance can feel like a continuous tightrope walk. These responsibilities are crucial for member satisfaction and organizational health, yet…
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Prepare for Medicaid Access Changes: What Your Health Plans Need to Know Now
Network inadequacy can create a big headache for health plans, so payers should give special attention to any legislative changes (either proposed or finalized) to these policies. One potential change…
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Do You Value Predictable ROI From Your Provider Network?
TOG Launches Network Intelligence Division Optimizing Payer Profit Margins TOG is now the only health care provider network builder with a network intelligence division that supports the full network operations…
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Record-Breaking ACA Enrollment: What It Means for Your Health Plan
Estimated Read Time: 3 Minutes The Affordable Care Act has hit a historic milestone! Over 20 million Americans are now enrolled in individual marketplace plans – nearly 6% of the…
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Infectious Disease Cases are Rising: How Can Your Health Care Provider Network Act as a Buffer?
Estimated Read Time: 5 Minutes Learn how your health care provider network can: Identify community hot spots & engage vulnerable populations. Craft engaging educational content for optimal reach & impact.…
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Managing an Increase in Pharmaceutical Spending on Specialty Drugs
A recent report by Vizient expects that hospitals will see a nearly 3.5% increase in pharmaceutical spending next year. Much of this increase can be attributed to medications for diabetes…
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