Managing a provider network can be a time-consuming and repetitive task because government regulations are constantly changing. Furthermore, each organization…
data management
Transparency in Coverage Rules and Consolidate Appropriations Act: The Latest Updates that Payers Must Know
Do you comply well with the frequent updates of the Transparency in Coverage Rules and Consolidated Appropriations Acts? Having a…
Here’s What You Need to Know About Provider Network Management
Having provider networks is a necessity. This is true for health plans and providers or hospitals, and especially, for the enrolled members. Managing provider networks can be a lot of…
Watch Out for these Anchors Holding you Back from Compliance
The proposed rule is currently titled ‘Reducing provider and patient burden’. However, the proposed rules do not promise any reduction…
Here’s How You Can Implement Transparency in Coverage
In the previous blogs, we have defined the Transparency of Coverage rule’s compliance requirements and their corresponding solutions. Now that the expectations from the solution is set, here we are looking at the implementation. Let’s cut straight to…
Complying with Public Disclosure Requirements
As the dates set for public disclosure requirements, Jan of 2022, draws close with every passing day, it is best…
Solutions for Transparency in Coverage
The Department’s guidelines on ensuring transparency in coverage are quite elaborate on the context and objective of disclosing information. Our previous blogs outline the disclosure requirements…
Meandering Through Member Engagement: Save Yourselves a Setback
It has been reiterated time and again by the CMS that member engagement is crucial to both the health plans and members. To…
The Digital Healthcare Framework for Care Providers: HIT Essentials for 2021 and Beyond
The US healthcare industry is undergoing a tectonic shift towards Value-Based Care (VBC). Changing reimbursement models and HHS regulations are…
Start Your Journey Towards Analytics Excellence
The healthcare revenue ecosystem is always on the move to achieve operational excellence, to offer personalized policies, proactive care programs,…
Grow your Payer Business with Prescriptive Analytics
The healthcare industry is going through a makeover where organizations are pushed towards patient-centricity. With the rapidly surging volume of…
Improve your Business Performance with Descriptive Analytics
Payer organizations deal with data, day in and day out. It is not enough that payers fulfill their roles in…