The Texas Medical Association Challenges the IDR Fee and Batching Rule in Its Fourth NSA Lawsuit
MultiPlan summarizes the Texas Medical Association’s fourth NSA lawsuit, challenging the IDR fee and batching rule.
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Dynamic Negotiation Offer: Leveraging Machine Learning in the Toughest and Easiest Negotiations
Claritev is using machine learning in its toughest and easiest negotiations
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Healthcare Business Today: Healthcare Payor Trends to Watch in 2023
As we look forward to the new year, we will see payors, providers, and consumers collaborating to improve the healthcare experience. One thing is a sure bet, healthcare will remain a dynamic industry with creative solutions emerging throughout 2023 and beyond.
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MultiPlan Welcomes New Chief People Officer
MultiPlan welcomes Carol Nutter as the new Chief People Officer to oversee the people strategy and operations of recruitment, talent management, employee engagement and wellness, DEIB (diversity, equity, inclusion, and belonging), and build development opportunities for upskilling and reskilling.
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Initial IDR Report Released Per No Surprises Act Requirement
The first federal report on the No Surprises Act’s Independent Dispute Resolution (IDR) process reveals significantly higher dispute volumes than anticipated, along with operational challenges in eligibility determinations and resolution timelines. These early insights highlight the complexity of the IDR process and the need for more efficient strategies as payers and providers adapt to evolving requirements.
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The Marriage of Human Intelligence and Artificial Intelligence
While both human intelligence (HI) and artificial intelligence (AI) can be used by themselves to identify waste and abuse in healthcare billing, Claritev believes the most effective healthcare payment integrity solutions leverage both.
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LifeNet Files Its Third Lawsuit Challenging Parts of the No Surprises Act
Directly on the heels of the Texas Medical Association’s (TMA’s) third lawsuit (TMA 3) challenging portions of the No Surprises Act (NSA), LifeNet, a company that provides ground and air ambulance services, has also filed their own third lawsuit (LifeNet 3).
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Texas Medical Association Files Third Lawsuit Challenging Parts of the No Surprises Act
On Wednesday, November 30, 2022, the Texas Medical Association (TMA) filed its third lawsuit challenging portions of the No Surprises Act (NSA). The latest lawsuit targets provisions of the July 2021 Interim Final Rule (“July IFR”).
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Payment Matters Podcast: Price transparency and the relationship between price, quality and healthcare
Ryan Day breaks down the current healthcare benefits landscape on the Payment Matters podcast with Jeff. Lin. Listen to learn how reference-based pricing as part of a value-driven health plan services gives employers the power to control rising employee healthcare costs.
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Alwyn van Heerden Joins MultiPlan as Vice President of Strategy and Corporate Development
MultiPlan has appointed Alwyn van Heerden as Vice President of Strategy and Corporate Development, enhancing its leadership team with deep expertise in M&A and strategic partnerships to support long‑term growth and innovation.