EBOOK: Blues plans, with their extensive umbrella across the United States, have adopted individualized approaches to claims review and out-of-network negotiations. Read this eBook to learn how the help of a strategic partner that specializes in expert claims review can address the complicated challenges presented by Blues plans.

Posted: 17 Apr 2024 | Published: 18 Apr 2024

RESEARCH CONTENT: Discover how Reference-Based Pricing (RBP) can be a game-changer in healthcare cost management. This survey report outlines key insights into RBP adoption, benefits, and challenges, providing a roadmap for stakeholders looking to implement this innovative strategy.

Posted: 19 Mar 2024 | Published: 19 Mar 2024

WHITE PAPER: Learn how to build a coordinated strategy for accurate and timely claims processing – includingout-of-network and payment integrity factors. This whitepaper suggests best practices, includingmulti-vendor and single-vendor partnerships, to address claims operations challenges thatpromote a more streamlined healthcare financial experience.

Posted: 03 Nov 2023 | Published: 03 Nov 2023

EBOOK: Employers and brokers are bracing for the impact of increasing health benefit costs by seeking innovative solutions to offset rising costs. Reference-based pricing (RBP) is one strategy often used, but there are many misconceptions in the industry about how it works and what the true benefits are. Download this ebook to learn more.

Posted: 31 Aug 2023 | Published: 31 Aug 2023