Dec 22, 2019

Unchecked out-of-network (OON) charges can result in high surprise bills for patients and high costs for payers. One reason: The cost for out-of-network care is often well above national averages and norms. It's crucial for payers to protect their members from larger deductibles and out-of-pocket limits by minimizing...

Nov 27, 2019

While many out-of-network (OON) providers charge reasonable prices for their services, insurers must also cope with excessive OON charges, which undermine members’ financial security and fuel rising healthcare costs. What percentage of these claims should be paid, and how can insurers better protect their members...

Nov 25, 2019

Healthcare interoperability: Where is the industry at today, where is it going, what's new, what's coming, and most important–what do payers, providers, and vendors need to do in order to participate in healthcare's interoperational future?

These questions and more are fielded on today's show by Jitin Asnaani, former...

Nov 21, 2019

Using digital technology to attract, engage, and serve consumers; deliver exceptional experiences; and earn loyalty is old hat for many U.S. industries. Healthcare, however, remains woefully behind the times when it comes to delivering contemporary digital experiences to consumers.

But that’s changing, and fast. On...

Sep 27, 2019

Value-based care seeks to improve care quality while reducing cost, and does so, in large part, through the use of innovative alternative payment models. But for payers, transitioning from volume-based payment (i.e., fee-for-service) to value-based alternatives is easier said than done.

On today's show, Mark Berg of...