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Becoming a Digital Payer: Advancing Customer Service
HealthEdge has identified five key attributes that drive digital payers, enabling them to rise above the competition and lead the way to better outcomes across…
Becoming a Digital Payer: Enabling Business Transparency
HealthEdge has identified five key attributes that drive digital payers, enabling them to rise above the competition and lead the way to better outcomes across…
Becoming a Digital Payer: Constantly Striving for Higher Quality
HealthEdge has identified five key attributes that drive digital payers, enabling them to rise above the competition and lead the way to better outcomes across…
Becoming a Digital Payer Series: A Deep Dive into 5 Key Attributes of a Digital Payer
5 Attributes of a Digital Health Payer
Rising consumer expectations, growing regulatory requirements, changing payment models, and new market opportunities …
The growth in our country’s Medicaid population has reached an all-time high in this post-pandemic society. Years of Medicaid expansion under the Affordable Ca…
New Survey Reveals Top Impact Points for Medicaid Programs Experiencing Workforce Shortages
The old saying goes, “If you’ve seen one state Medicaid program, you’ve seen one state Medicaid program.” The increasingly complex and dynamic state-by-state r…
The first tool to automate repricing of claims, variance reports for over and under payments and monitoring of retroactive changes
Today, payers looki…
States are about to get help for mental healthcare and substance use treatment because of the Bipartisan Safer Communities Act signed by the President in June…
First Inklings of Inflation Reach 2023 Health Cost Calculations
Anticipating inflationary pressures around healthcare costs, the IRS has spiked limits for 2023 on Health Savings Accounts (HSA) by 5.5 percent, much higher th…
Interoperability Challenges and Recommendations
Introduction
The U.S. Department of Health and Human Services (HHS) aims to have an interoperable h…
ACA and Medicaid Membership Cliffs Loom for Fall and Year-End
There’s likely to be movement among Medicaid and Affordable Care Act (ACA) membership as the nation seems to be inching toward the end of the pandemic, at leas…
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