PECOS: What You Need to Know


PECOS plays a critical role in facilitating communication and data accuracy between providers and CMS. It powers several datasets indicating providers’ statuses and standing with CMS.

How to Improve Ownership of Provider Data

In this post, we’ll provide a framework for refining ownership of provider data and eligibility monitoring in your organization and explore the most common accountability structures we see with health plan clients.

Evolution in Medicaid Managed Care


In this conversation with data and policy analyst Allan Baumgarten, we discuss the key differentiating areas of procurement, contracting, and oversight, and where these may be headed.

How Smarter Provider Oversight Drives Efficiency

In this eBook, we explore a new approach to provider eligibility. A smarter approach to oversight empowers more complete provider network data and better, faster decisions to protect revenue and member safety.