Unexpected medical bills are a common issue that many patients face. In 2020, the Federal government passed the No Surprises Act to protect patients from these unexpected bills and increase
Health Plan Operations Health plan operations are complicated; increasing volume coupled with the demand for qualified claims professionals has made claims management in today’s world, difficult. Even beyond the demands
The only constant in healthcare is change. The landscape is constantly evolving, and all the players are feeling the heat to improve care delivery while making healthcare more affordable. There
Northern Nevada’s homeless, at-risk, aged-out foster youth is on the rise. A single night on the streets of Reno alone can claim up to 205 homeless youth under the age
Prior authorization has been a topic of contention ever since the strategy was proposed. While it certainly has benefits for healthcare payers, providers have been pressing CMS for reforms, and
If you’ve been keeping up with The Center for Medicare and Medicaid Innovation, or are employed by a health system, then you’ve likely seen the federal government’s new requirements in
As the healthcare industry continues to evolve, so do the technologies and systems used to manage and deliver care. In 2023, CMS (Centers for Medicare & Medicaid Services) will be
Ten years ago, telehealth and telemedicine barely existed. Sure, you might have gotten a call from your doctor or pharmacist for small things, but as far as healthcare is concerned,
If you’ve looked at claim denial data from 2020, you know that in-network claim denial rates were at an all time high. There are a lot of variables that go
Data management has been a huge topic of conversation lately, especially Provider data. To many, Provider data feels like it should stay a provider problem, the truth is that it
Los Angeles is known for many things: the glittering lights, star-studded neighborhoods, unique culture, and Rodeo Drive. The last place that people think of when visiting Los Angeles is Skid
If you are in healthcare, you’ve likely heard of the recently released Annual Report of the Departments of Health and Human Services and Justice. The Health Care Fraud and Abuse
The healthcare sector is continually evolving. Just about everything can cause a ripple effect, no matter how big or small the change might seem right now. The tiniest shift, like
If you’re in health plan operations, you’ve likely heard about the latest technologies hitting the market. It seems like every other day, there’s some new this or that to make
There are many contributing factors to the ebb and flow of insurance premiums, especially in the commercial market. The economy, the pulse of the country, and the slightest change in
