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

Clarify Health

Provider networks are the primary tool for health plans to attract and retain new members while optimizing returns. When evaluating network performance, health plans tend to use provider benchmarks that equate low cost with high performance. This makes network design a key factor in any member retention strategy. to 30% of the time.

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Value-based healthcare can help reduce costs

World of DTC Marketing

According to the Kaiser Family Foundation (KFF), in 2021, the average cost of employee health insurance premiums for family coverage increased by 4% from the previous year to $22,221. Why haven’t more employers addressed the rising costs of employee healthcare with value-based care? employers during June and July 2021.

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Amazon’s big gamble

World of DTC Marketing

Quick Read: Amazon will dramatically expand its healthcare reach with its planned $3.9 billion acquisition of One Medical, a primary care provider with 188 offices in 25 markets nationwide but are they making a strategic move or a mistake? I can easily schedule a telehealth appointment with my doctor without paying $199 a year.

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Utilization Management as a Value-Based Care Strategy

Penrod

In this model, healthcare providers are compensated based on the quality of treatment rather than the volume of services they offer. This approach enables physicians to focus on patient outcomes, efficiently coordinate treatment, and manage population health, resulting in better results and reduced costs.

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Getting an Rx does not address health problems

World of DTC Marketing

There isn’t one method to get people exercising; it will take an approach for every healthcare provider to communicate the importance of exercise. Pharma websites provide the prescription that can help people overcome health problems but too often, they ignore the patient’s responsibility to lose weight and exercise.

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Does Improved Medical Billing Increase Revenue?

Referral MD

Another benefit of working with outsourced physician billing services is that it will handle the complexities of insurance credentialing. Once an insurance credential is established, the medical biller must verify that the insurance information matches that on file with a patient’s health insurer.

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