HR3630 Healthcare Calculations

H.R.3630 – The No Surprises Act Has Come With A Few Surprises

On April 15th, 2022, the Departments of Health and Human Services (HHS), Labor, and the Treasury launched the federal Independent Dispute Resolution (IDR) portal ...

Medicare 2024 is Coming… Have You Started Your Strategic Plan?

The leaves are beginning to turn colors and Medicare open enrollment for 2023 is upon us…. Meaning, Medicare Advantage planning for 2024 is right ...
Healthcare Provider Network Strategy

A successful provider network strategy

One of the most demanding tasks for any payer is establishing a new provider network or expanding an existing one. Many factors must be ...

Keys to Successful Staffing

Outsourced staffing was already essential to healthcare for curbing high turnover before the pandemic. Now, more than a year into COVID, that need has ...

Section 1876 Cost Plan Network Adequacy Guidance and the Impact on Medicare Advantage Plans

On June 17, 2020, Medicare Advantage Plans (Part C) received a break in Network Adequacy requirements for 2021 provider network filings. The updated rules ...

Strategic Planning

Strategic Planning prior to provider network development is often the last thing on executive’s minds. When going into a new, or expanding on current ...

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