What Is Revenue Integrity in Healthcare?
Claritev explains what revenue integrity is via a short video.
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MedCity News: The Promise of Healthcare Pricing Transparency
Healthcare is a major expenditure for employers and employees, yet Americans purchase it without insight into price or quality. Medical costs contribute to 66.5% of household bankruptcies—lack of transparency is a contributing factor. Employers, payors and providers should consider alternative models of care such as value-based plans with built-in access and transparency.
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MultiPlan Corporation Announces First Quarter 2023 Earnings Conference Call
MultiPlan announces it will release its first quarter 2023 financial results at the Q1 2023 Earnings Conference Call on Thursday, May 4, 2023.
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What Does the End of the Public Health Emergency Mean for Healthcare Payors?
On January 30, 2023, approximately three years after the COVID public health emergency (PHE) began, the Biden administration announced plans to let the PHE expire on May 11, 2023. If your organization pays healthcare claims, you may be wondering what the end of the PHE means for you. Claritev explains the implications below.
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No Surprises Act Update: IDR Entities May Resume Issuing All Payment Determinations
IDR entities can once again issue payment determinations for No Surprises Act disputes following updated CMS guidance. After a temporary pause triggered by legal challenges to the IDR process, determinations resumed in phases—first for pre-October 25, 2022 services, and later for more recent claims—restoring momentum to dispute resolution between payers and providers.
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MultiPlan Reports Fourth Quarter and Full Year 2022 Results
https://www.claritev.com/insights/multiplan-reports-fourth-quarter-and-full-year-2022-results/
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MultiPlan Announces $100 Million Share Repurchase Program
MultiPlan announced a $100 million share repurchase program authorized by its Board of Directors, reinforcing confidence in the company’s business strength and long-term growth strategy. The program allows for opportunistic share buybacks as part of a broader capital allocation approach, while continuing investments in growth, innovation, and debt reduction.
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MultiPlan Corporation Announces Participation at Upcoming Conferences
MultiPlan Corporation announced its participation in several upcoming investor conferences, where members of its leadership team will engage with the investment community and discuss recent performance, market trends, and strategic priorities. The company will appear at events hosted by Goldman Sachs, Bank of America, and Barclays, with select sessions—including a fireside chat—available via webcast.
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Certified IDR Entities Have Been Instructed to Hold All Payment Determinations Until Further Guidance Is Issued
CMS directed certified IDR entities to pause all payment determinations for No Surprises Act disputes following a February 2023 court ruling, requiring previously issued decisions to be recalled. While arbitration activities like eligibility reviews continued, the halt created delays and uncertainty as regulators worked to update guidance for compliant payment decisions.
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Determining Whether a Dispute Is Eligible for IDR Is Complicating the Process
More than a year after the No Surprises Act (NSA) took effect, parts of the law are still creating challenges, including the independent dispute resolution (IDR) process.