Regulations introduced through the Transparency in Coverage rule require payers to disclose their contracted ('in-network’) rates with all provider sites in their network, not only for hospitals but also organizations [...]
Over the last 20 months, the healthcare industry has been working toward compliance with the Centers for Medicare & Medicaid Services (CMS) Hospital Price Transparency and Health Plan Transparency in [...]
Recorded Session from the 2022 Consumer Experience & Digital Health Forum The Future of Healthcare's Price Transparency is Here. Now What? Healthcare providers and insurers are now required to [...]
At the beginning of Dr. Anikia Nelson’s career, she realized she wanted to have an impact beyond the scope of direct patient care. She’s making a big impact here at [...]
Recorded Session from the AHIP 2022The Technology and Teams Driving Value-Based TransformationWhen I think about what makes value-based care successful, it's a pretty simple framework: people, process, and technology.At the [...]
By: Stephanie Finch, Executive Director, Transformation & Performance, Clarify Health At the recent AHIP conference in Las Vegas, I joined thousands of payer executives, insurance industry experts, policymakers and thought [...]
Population health management is best supported by a data-driven approach with a structured analytics process driven by skilled and competent healthcare leaders and clinicians. Reports estimate that the healthcare analytics [...]
https://vimeo.com/703001700 As the shift to value-based payments accelerates, there is an increasing need for healthcare analytics that can help improve the health of populations. Dr. Ines Vigil, GM, SVP, [...]
Medicare programs have skyrocketed in importance as the U.S. population has steadily aged. As millions of Americans face the choice of Original Medicare or Medicare Advantage each year, enrollment in [...]
Now more than ever, rate intelligence is a must-have for health plan strategy and network leaders. However, solely relying on rate intelligence is not enough. Health plans need to supplement [...]