Topics
UnitedHealthcare is evaluating options after losing lawsuit over risk adjustment paymentsAugust 14 | Susan Morse

UnitedHealthcare loses risk adjustment lawsuit, weighs options

UnitedHealthcare and Oxford Health Insurance contended the...

DOJ, HHS continue war on Medicare fraud with formation of new regional fraud strike forceAugust 14 | Beth Jones Sanborn

New Medicare fraud strike force formed for Newark/Philadelphia region

Prosecutors for the 10 regional strike forces...

 

Whitepapers

Consumer Trust Remains High Despite Costs, Missing Services

July 16The findings from this report, based on interviews conducted in May 2018 with over 2,500 primary health insurance subscribers, indicate that despite relatively high satisfaction, several key services would further increase member satisfaction with their health plans.

Value-Based Payments: Getting from Here to There

16:59 PMRecognizing the need to transition from a traditional fee-for-service model, see how a not-for-profit health plan not only lowered healthcare costs, but also adopted new provider contract and payment models and implemented value-based reimbursements.

Consumer Trust Remains High Despite Costs, Missing Services

July 16The findings from this report, based on interviews conducted in May 2018 with over 2,500 primary health insurance subscribers, indicate that despite relatively high satisfaction, several key services would further increase member satisfaction with their health plans.

Value-Based Payments: Getting from Here to There

16:59 PMRecognizing the need to transition from a traditional fee-for-service model, see how a not-for-profit health plan not only lowered healthcare costs, but also adopted new provider contract and payment models and implemented value-based reimbursements.
Webinars

How to Improve Agent Productivity in the Revenue Cycle Process

May 17As insurance follow-up becomes more complex, reimbursements continue to decline, and with more being pushed to the patient, providers face an increasing amount of uncertainty that will no doubt affect profitability. In this environment, providers must do more with less and work to find ways to improve agent productivity in the revenue cycle process. In this webinar, you will learn how unique technology and processes can add tangible gains to agent productivity in your revenue cycle process, improving performance and leading to an improved cost to collect.

Capturing New Business in a Competitive Landscape - How Adaptable Is Your Health Plan?

June 14Hear directly from Dannette Coleman, EVP at HealthEdge and a former health plan executive, and learn how McLaren and other health plans accelerate the deployment of new plans while keeping costs in check.

How to Improve Agent Productivity in the Revenue Cycle Process

May 17As insurance follow-up becomes more complex, reimbursements continue to decline, and with more being pushed to the patient, providers face an increasing amount of uncertainty that will no doubt affect profitability. In this environment, providers must do more with less and work to find ways to improve agent productivity in the revenue cycle process. In this webinar, you will learn how unique technology and processes can add tangible gains to agent productivity in your revenue cycle process, improving performance and leading to an improved cost to collect.

Capturing New Business in a Competitive Landscape - How Adaptable Is Your Health Plan?

June 14Hear directly from Dannette Coleman, EVP at HealthEdge and a former health plan executive, and learn how McLaren and other health plans accelerate the deployment of new plans while keeping costs in check.
Topic Spotlight
Video
Investing in analytics tech: What you need to know

Investing in analytics tech: What you need to know

Dana Darger, director of pharmacy at Rapid City Regional Hospital, says building out a data analytics operation doesn't have to be a marathon. There are ways to start small.