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 considered, such as the payer’s revenue…
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 only increased. Regardless of the types…
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 reduce requirements for several key provider…
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 markets, there never appears to be…
