
Making ICHRA Plans Work for Providers and Patients
With the increased adoption of ICHRAs, now is the time for providers to proactively rethink their contracting strategies with exchange plans. … Read More
With the increased adoption of ICHRAs, now is the time for providers to proactively rethink their contracting strategies with exchange plans. … Read More
Health plans will be required to meet a prior authorization time frame as short as 72 hours, along with providing reasoning for any denials. … Read More
When it comes to selecting the right revenue cycle management (RCM) partner, there are crucial factors beyond cost considerations. … Read More
See how Ensemble is actually applying AI to drive value across the entire revenue cycle. … Read More
By partnering externally for RCM support, organizations gain efficiency, increase agility and are better able to use limited resources. … Read More
Federal agencies are scrutinizing Medicare Advantage coding with inaccurate diagnoses for enrollees with certain high-risk diagnoses. … Read More
There’s no need to go into an EHR implementation unprepared. Having a readiness program in place can help smooth the transition to a new EHR. … Read More
The 2024 Medicare Advantage Final Rule clarifies that Medicare Advantage (MA) plans must follow the Two-Midnight Rule set in 2013, and more. … Read More
A report from the OIG found some MCOs have unusually high rates of prior authorization denials, with limited or no state oversight. … Read More
In a rapidly shifting industry, here are five areas of focus to help you face healthcare’s future with confidence. … Read More