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How healthcare providers can address challenges with hospital price transparency data

Clarify Health

Many healthcare providers lack the necessary IT systems or resources to implement such infrastructure, leading to additional costs and implementation challenges. Healthcare providers should invest in robust data management systems capable of collecting, storing, and updating pricing information accurately and efficiently.

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Prior Authorization: Why It’s Essential in Healthcare

Referral MD

Prior authorization is a crucial healthcare topic related to the relationship between a patient, their healthcare provider, and the insurance company. This blog will outline everything you need to know about prior authorization , its definition, and its importance to healthcare. What is prior authorization?

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Navigating the Complex World of Reimbursement and Insurance: My Experience as a Pharmaceutical Sales Rep

Contrarian Sales Techniques

When I first started working as a pharmaceutical sales representative , I didn't fully understand the complexity of reimbursement and insurance coverage. The reimbursement and insurance systems in place can be difficult to navigate. But as I progressed in my career, I came to see just how vital it is to the job.

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3 Ways Health Insurers Can Cut Costs While Keeping Members Happy

Salesforce

When it comes to meeting healthcare consumers’ expectations, health insurers have a lot of room to improve. Digitizing your healthcare contact center can greatly improve the member experience — while helping you save money. Connected Healthcare Consumer report. Boost your healthcare tech knowledge.

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Three Strategies to Optimize Healthcare Provider Networks in New and Existing Markets

Clarify Health

Here are our top three provider network optimization strategies for health plans seeking to gain market share and manage claims spend in 2023 and beyond. Use healthcare provider data to boost network performance Assessing provider performance is one of the key challenges of network design and optimization.

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Colombian healthcare reform aims to upend insurance and shift focus to primary care

Pharmaceutical Technology

After months of speculation, Colombia’s government has finally presented a long-awaited draft healthcare reform to congress. It includes a radical overhaul of the public healthcare insurance sector, doing away with the role of the Health Promoting Entities (Entidades Promotoras de Salud, EPS) as intermediaries.

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The Healthcare System Isn’t a System, Health Exec Says

MedCity News

Patients are struggling to find the right care, and that’s because the healthcare system is fragmented, according to Andrea Walsh, president and CEO of HealthPartners, an integrated healthcare provider and insurance company. Walsh made these comments Wednesday at the HIMSS 2023 conference in Chicago.