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Blog


    Blog: Innovation at work

    Cathy K. Eddy
    12/27/2019
    What health plans can learn from the former head of innovation and creativity at Walt Disney Company.


    BLOG: Flying solo? The top reason to join the flock plus 5 key traits to maximize the benefits

    Dennis Bolin, Health Plan Alliance
    8/26/2019
    What conditions need to be present to ensure your organization benefits from being a part of the flock – both internally between teams and externally between other health care providers?


    BLOG: Growing where you are already planted

    Kristin Rodriguez, Health Plan Alliance
    6/24/2019
    How delivery systems can become a hub for health and healthcare in the future by shifting their focus from buying and building hospitals to leveraging their existing platforms to generate growth and often more profitable streams of revenue.


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Business News


    Engaging Members, Wherever They Live with New Program Offerings

    The LifeBalance Program
    1/31/2020
    Many health plan members live in rural areas with few local services. The LifeBalance Program is enhancing its offerings to ensure that all members – no matter where they live – can enjoy benefits.


    Change Healthcare podcast

    Change Healthcare Consulting
    1/26/2020
    It’s an important time of year for Medicare Health Plans, and managing the highly regulated areas of Medicare Parts C and D can be a daunting challenge. Listen to learn from Change Healthcare Consulting's Phillip Cardona, Melissa Bailey, and Tim Gundlach explain CMS audit universes; managing the considerable amount of data they can require; and best practices for preparing for and facilitating the audit process.


    Change Healthcare Consulting Services - Medicare STARS Support Case Study

    Change Healthcare
    1/15/2020
    Accurately predicting STAR scores in real-time for a health plan can be difficult without the proper tools in place. Learn how the Change Healthcare Consulting staff helped a payer predict proper STAR scores and utilize them for their advantage.


    MultiPlan’s Data iSight Reduces Out-of-Network Claim Charges

    MultiPlan
    12/24/2019
    Data iSight is a patented, defensible alternative to U & C or Medicare-based reductions for out-of-network charges Using publicly available claim data and a unique benchmarking process, it calculates fair reimbursement that is cost-based for facilities and median reimbursement-based for practitioners — and acceptable to providers and able to achieve savings for medical payers.


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