Archive for September 2015
3 Predictions in the Wake of Recent Health Plan Mergers
In case you missed it, Aetna and Anthem recently signed deals to merge with health insurance giants Humana and CIGNA, respectively. These mergers have created quite a stir in the insurance market, with many experts left questioning what this will mean for the managed care and commercial market in the years to come.
Read MoreUsing Technology to Streamline Your Policies and Procedures
Policies and procedures are an important part of health plans’ day-to-day operations. However, if these are not documented and managed properly – including being updated each year – health plans may be subject to costly fines and corrective action plans from the state.
Read More3 Ways Mismanaged Policies and Procedures can Cost you Money and Members
Behind every health plan are a number of policies and procedures that serve as a framework for the organization and the care of its members. These policies include all aspects of operation, from payment and authorization to coordination of benefits.
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