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Executive Briefing | January 21, 2020
The market is continually shifting, but in 2020, the most meaningful shifts focus on a singular theme—integration. We believe that health plans that adapt and…
Executive Briefing | August 22, 2019
Will new trends drive defined contribution and a new consumer choice model? A recent Government final rule will give employers more flexibility in benefit offerings…
Executive Briefing | August 22, 2019
Recent Price Transparency regulatory actions requiring hospitals to disclose standard charges and negotiated rates between hospitals and health plans serve as a dramatic precursor towards…
Executive Briefing | April 30, 2019
A review of the 2019 Medicare Advantage Annual Enrollment Period Supplemental Benefits reveals that the growth of Over-The-Counter (OTC) programs far outpace any other newly…
Executive Briefing | March 5, 2019
The absence of meaningful value-based requirements in state contracts does not indicate a “do-nothing” scenario. MCOs that lay the groundwork for advancing internal VBC initiatives…
News | November 16, 2018
The combination of Convey, HealthScape, and Pareto solidifies our market position as the go-to partner for health plans to optimize member experience and outcomes, ensure…
Executive Briefing | November 13, 2018
CMS recently announced that it was enhancing its program integrity efforts that focus on oversight of Medicaid programs. How should health plans respond?
Executive Briefing | October 30, 2018
Because a provision in MACRA eliminates first dollar coverage, plans can no longer sell the most popular Med Supp plans C and F. Success in…
hfm Magazine | September 6, 2018
Traditional revenue cycle management arrangements that focus solely on billing and collections are no longer reliable. In a world of delegated risk models, providers must…