White Paper: Converge Without Limits
How Health Plans Can Turn Challenges Into Opportunities and Future-Proof Their Business
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How Health Plans Can Turn Challenges Into Opportunities and Future-Proof Their Business
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Are you ready to transform compliance into a strategic advantage?
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See what 3,500 consumers say about their healthcare experiences
Read the report!A strategy to comply with the final rule issued by the U.S. Centers for Medicare & Medicaid Services suggests that payers should unify systems around their core claims and care management platforms...
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Gain insights from a survey of health plan leaders on how to solve payment integrity challenges and achieve enterprise alignment.
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This Spotlight examines payer payment integrity platforms and how payers can aggressively apply analytics and coordinate workflows to move "left" from reactive postpay to proactive, predictive prepay.
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Traditional multi-vendor payment integrity systems, while well-intentioned, often complicate IT environments with disjointed data sources and inconsistent workflows.
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In today's rapidly evolving healthcare landscape, traditional IT systems and monolithic care management solutions are becoming obsolete.
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The intricacies and variability of state-by-state Medicaid regulations are presenting significant challenges for health plan executives, who must continually adapt to the latest Medicaid payment...
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