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Channel: Managed Healthcare Executive - Julie Miller
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Billing process continues to improve

According to AHIP, more claims are being received by payers in electronic formats, and payers are processing those claims at a faster rate than before.read more

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Flight Path

Payers struggle against market headwindsread more

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Commonwealth Fund identifies Medicaid gap

In state that opt out of Medicaid expansion, millions of low-income people will miss out on subsidies tooread more

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Billing process continues to improve

According to AHIP, more claims are being received by payers in electronic formats, and payers are processing those claims at a faster rate than before.

View Article

Flight Path

Payers struggle against market headwinds

View Article


Commonwealth Fund identifies Medicaid gap

In state that opt out of Medicaid expansion, millions of low-income people will miss out on subsidies too

View Article

CDC seeks answers on e-cigarettes

About half of the 45 million Americans who smoke cigarettes try to quit each year, according to the Centers for Disease Control and Prevention (CDC). One of the ways to attempt quitting is to use a...

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State of the Industry: Narrow and tiered networks

New network designs drive quality through data sharing

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CDC seeks answers on e-cigarette use among kids

CDC is concerned because young adults and children are beginning to use e-cigarettes, and the products’ safety is uncertain

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Advocates track Ohio's subsidized enrollment

Families USA drills down to estimate the number of subsidized enrollees

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State of the Industry: Age-rate bands

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Scorecard shows location more critial than income

Low-income families have advantages in top performing states

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State of the Industry 2014

Managed care organizations will be remiss if they don’t seriously consider the evolving competitive landscape.

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Keeping up with PPACA worth your time investment

Convenient sound bites do not take the place of true intelligence

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Role of EMRs shifting from data vessel to decision tool

Patients have latent demand for EMR open access

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Employers hold off on health benefit decisions

Only 8% are capping work hours to avoid the obligation to provide coverage

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Employers drive value with centers of excellence

PBGH program gives employees no-cost joint replacement and free travel to top hospitals

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Consumers will look for quality in exchange markets

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NIghtmares just beginning for healthcare.gov

Future upgrades will include cost information, provider directories and tons of scale

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Need for utilization management grows

Programs could include cardiology and diagnosis of sleep disorders

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