Previously, on the Future Healthcare Today Podcast, we heard from Mary Piecuch, Senior Vice President of Product Strategy, and Erick...

It should come as no surprise that recent events around the world have created an atmosphere of change almost everywhere....

With approximately 43 percent of all Americans using Medicare or Medicaid, the Centers for Medicare and Medicaid Services (CMS), part...

The Independent Dispute Resolution (IDR) ruling within the No Surprises Act oversees the mediation process between payers and out-of-network providers when they cannot agree...

The Centers for Medicare & Medicaid Services (CMS) recently released a Request for Information (RFI) for the Advanced Explanation of Benefits (AEOB)...

Traditionally, provider directories have been maintained by individual health plans. These directories include a list of providers in their network along with...

The healthcare network, made up of providers and managed by payers, is one of the most important aspects of the...

Maintaining correct and up-to-date provider credentials is critical for payers to effectively verify trusted practitioners. Poor provider network management can...

To combat the rising rates of chronic illnesses and related expenditures Medicare beneficiaries are required to complete a comprehensive health...

Third-Party Administrators (TPAs) and health plans have many things in common, but one that stands out is the challenge both...