No Surprises Act independent dispute resolution (IDR) volume is driving healthcare administrative costs—it's time to shift from policy execution to system optimization. Explore how leaders can reduce friction with data, expertise, and AI.
Sarah Michaels, Chief Clinical Officer of Kinetiq Health, makes the opportunity clear: healthcare can use data to make decisions that lead to better outcomes for everyone.
As healthcare pricing becomes more transparent, brokers and employers face new challenges and opportunities. This white paper outlines how to turn data into decision-grade insights that support cost control, strategic planning, and better benefit outcomes.
Healthcare costs have long been managed with limited visibility, but new transparency rules are finally changing that. In this article, Matt Baird explains how employers and brokers can turn raw pricing data into clearer decisions, stronger negotiations, and smarter healthcare strategies.
Healthcare costs are rising, and employers need brokers who can simplify complexity and drive smarter healthcare decisions. Price transparency tools like MultiPlan’s PlanOptix empower brokers to turn data into actionable insights, reducing costs and boosting client value.
Discover how leading employers are using Claritev’s BenInsights® to turn fragmented data into actionable strategies that improve employee health outcomes and control costs. This white paper highlights real-world success tackling high-cost conditions like ER visits, musculoskeletal care, and cancer screenings — all through data-driven decisions.
It’s been 3 years since the No Surprises Act (NSA) went into effect and we’re sharing key insights.
The No Surprises Act and the IDR process present unique challenges for payors and providers – from an inefficient portal to a shortage of IDR entities and constantly changing rules. In this blog post, we discuss the top 8 challenges we’ve encountered and what you can do to address them.
A high-level overview of the proposed Federal IDR Operations rules under the No Surprises Act, highlighting key changes aimed at improving communication, reducing disputes, and streamlining payment determinations between payers and providers.
Medical bills are a top stressor among patients and most agree that dealing with them is highly stressful and inconvenient. In fact, 56% of patients report that generally medical bills are a leading source of stress. Figuring out these bills is also often hard, which leads to confusion on top of the anxiety about the cost itself. Therefore, balance bills can add another source of stress.