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

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

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

Introduction To enable the deployment of medical providers during the COVID-19 Pandemic, BlueCross / BlueShield of North Carolina announced they would process credential requests for

A Worthwhile Investment Remote patient monitoring is part of a new era of medical technology. In the wake of the COVID-19 pandemic, remote services and

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 markets,

There is an intense amount of pressure within the healthcare industry to improve patient outcomes and reduce costs simultaneously. Most believe solutions lie within Value-based

 State laws, rules, and benefits. Introduction  It is common knowledge that the United States is currently fighting a war on the abuse of Opioids and

Caring for the nation’s service members has never been easy. Providing world-class medical attention for the men and women of the Armed Forces from the

In our previous HIMSS Clinical Informatics newsletter article, “Can Machine Learning (ML) Reduce Patient, Provider, and Insurer Administrative Burdens?” we defined administrative burden as essentially