Nov 27, 2019

Managing the highly regulated areas of Medicare Parts C and D can be a daunting challenge for health plans. Factor in a CMS audit, and the complexity and associated administrative burden can skyrocket.

On today's program, Change Healthcare Consulting's Phillip Cardona, Melissa Bailey, and Tim Gundlach explain CMS...

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...

Nov 19, 2019

Not long ago healthcare IT systems were information silos, safely isolated inside a payer’s or provider’s data center. The greatest threat to IT security was the unlikely inside job. Fast forward to 2019, and HIT systems are increasingly enmeshed across corporate, government, vendor, and even consumer...