The Accuracy-Adequacy Paradox
A regional health plan improved its provider directory accuracy by 8%, only to discover hundreds of specialists listed as “in-network” had moved or stopped practicing. Rather than losing coverage, the plan leveraged…
Introduction to the No Surprises Act
The healthcare landscape in America experienced a significant transformation in 2022 with the implementation of the No Surprises Act, a groundbreaking bipartisan legislation designed to protect patients from unexpected…
David Van Houtte, Chief Growth Officer at Santech
With more than 20 years of experience at a major health insurance company, I’ve seen firsthand how challenging provider data management can be. I’ve worked with teams…
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The healthcare industry is experiencing an unprecedented wave of payment disputes as out-of-network Independent Dispute Resolution (IDR) cases reached record-breaking volumes in the first half of 2024. According to comprehensive federal data analysis, these…
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In this intriguing video, important advances in transparency of health care prices are explained by Mark Galvin, Founder, President and CEO at TALON at the HCAA conference in Las Vegas.
Two “watershed moments” have been…
In this intriguing video, important advances in transparency of health care prices are explained by Mark Galvin, Founder, President and CEO at TALON at the HCAA conference in Las Vegas.Two “watershed moments” have been…
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Today’s payers are still adjusting to the significant operational and transparency changes as a result of the No Surprises Act and Consolidated Appropriations Act. These mandates put the provider network operation on the front…
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What You Should Know:
Health Payment Systems (HPS) today announced it has selected Madaket Health to help manage its provider directory and roster requirements for No Surprises Act (NSA) compliance.HPS, which supports 27,000 providers across 96 hospitals, selected…
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Top News
Digital consulting firm Perficient acquires San Diego-based healthcare software development company Smedix.
Webinars
October 25 (Wednesday) 2 ET. “Q&A: What’s new with the NSA? A No Surprises Act update.” Sponsor: Waystar. Presenters: Joseph Mercer, JD,…
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Top News
Waystar announces that it filed IPO documents in August that reportedly value the company at up to $8 billion.
Waystar says it booked $196 million in sales for the quarter ending June 30…
