How to Reduce Claims Leakage in Non-Par Provider Networks
Back by popular demand, we will continue our live webinar series on managing and monitoring non-par provider networks effectively and efficiently in a COVID world. In this session, we will focus on the costs of claims leakage and best practices for reducing at a time when health plan leadership is looking for it most.
Please note that recorded webinars are not eligible for CEUs. For a list of all eligible webinars, check out our upcoming webinars!
More Resources to Help You Grow and Succeed
The Interoperability Rule and Effects on Provider Network Data
The Interoperability Rule, currently slated to go into effect in 2021, impacts provider network data for health plans in addition to significant implications for patient health data requirements.
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.
