The No Surprises Act provides protection nationwide for patients from surprise medical bills and prohibits balance billing for certain out-of-network care. Although this is good news for patients facing crippling and often unexpected medical bills, healthcare insurers and providers must hustle to adjust systems, processes, and technological capabilities to comply beginning January 1, 2022.
The COVID-19 pandemic significantly altered the way we think about health care and the importance placed on issues that we have long struggled to not just solve, but even build consensus on the root problem. Read this short article to hear Dr. Summerpal Kahlon and David Gallegos discuss how COVID-19 challenged healthcare stakeholders to think differently about how to keep people healthy, how to treat them when they are unwell, and how to pay for both.
Did you know Change Healthcare Consulting has an Analytics & Insights branch? Our Consulting SME’s can ensure that you are leveraging your data in the most efficient way. Read our brochure to learn more!
With excessive and sometimes redundant communications being sent, maintaining member satisfaction and improving the overall experience has proven to be challenging. By consolidating member communications and switching up the frequency, you can reduce claim communications volume and costs, all while keeping your members happy.
Does it feel like the ground is shifting under you with gaps widening among your members? It’s reported that 1 in 3 Americans delayed or skipped care due to the pandemic, including 41% of adults with chronic conditions. The impact of these missed appointments is real and they also negatively affect your quality metrics, putting your Star Ratings and business at risk. It is a big challenge but achieving a 5-Star Rating – and keeping it – in today’s environment is possible.
A large health plan in the Northeast contacted Change Healthcare Consulting to help them turn around a troubled project. Read more to learn how the Consulting team was able to steer the project back to course in order to successfully implement a new digital marketing solution.
Payer Compass Achieves HITRUST CSF® Certification to Further Mitigate Risk in Third-Party Privacy, Security, and Compliance
Payer Compass, a leading provider of healthcare reimbursement technology and price transparency solutions, announced that Visium™, the company’s core software platform, has earned Certified status for information security by HITRUST.
WEBINAR: Bridging the gap between payers and providers. Disruptive innovation in a complex healthcare landscape
Join healthcare payments experts as we push back on the old and wasteful way of doing things. Here we reveal key payments elements that drive collaboration and highlight solutions to provide better healthcare for all.
Rx Savings Solutions
This Blue Cross Blue Shield Association plan covers a population with one of the 10 highest per-capita prescription costs in the U.S. The health plan sought ways to lessen the out-of-pocket burden on its members and put the brakes on plan pharmacy spend. Rx Savings Solutions delivered both.
Start streaming to hear from industry experts, payers and providers on the hottest topics impacting healthcare payments all from the comfort of your couch.
Read more about RxRevu's growth, and how their Real-TIme Prescription Benefit solution has displayed more than 10 million prescription data points from payers and PBMs to providers across the United States.
RxRevu recently announced an expansion of their services to deliver medical benefit data to the point-of-care. This new functionality will allow for more comprehensive patient conversations around the cost of care and covered options. To learn more, read the recent press release.
An established Midwestern commercial health insurer added a new Medicare Advantage Plan that went live in 1/1/2020. The client lacked experienced MA internal resources to perform the functions required for an MA plan. Read more to learn how Change Healthcare Consulting provided a final mock audit and Medicare operational process recommendations.
Convey Health Solutions
Convey Health Solutions, Inc. (Convey) has evolved into a leading provider of specialized healthcare technology and services that is committed to providing clients with healthcare-specific, compliant member support solutions utilizing technology, engagement, and analytics. The Convey Family of Companies is guided by its mission to improve health plan operations and elevate customer experience, and is dedicated to solving the biggest challenges facing healthcare organizations today.
Rx Savings Solutions
The Centers for Medicare & Medicaid Services (CMS) has enacted new mandates aimed at giving consumers increased drug price transparency. One new CMS rule will require Medicare plans to offer a real-time benefit tool (RTBT) that allows beneficiaries to compare their out-of-pocket expenses for different prescription drugs. At Rx Savings Solutions, we are ready for you.