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ESRD: Finding and restoring underpaid CMS premiums in 5 steps
Members with End-Stage Renal Disease (ESRD) account for a disproportionate amount of medical expenses. Learn what you can do by following these five steps to ensure your Medicare Advantage plan doesn’t miss out on millions of medical premiums from the Center for Medicare and Medicaid Services (CMS) for members with End-Stage Renal Disease (ESRD).
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Seven Network-Based Functions You Should Take Off Your Plate
Managing a Medicare Advantage network involves complex, resource-intensive tasks—from ensuring adequacy and compliance to credentialing, provider support, and reporting. By offloading these seven network-based functions to a trusted partner, healthcare payors can streamline operations, maintain regulatory alignment, and focus on strategic priorities while improving network performance and efficiency.
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Strong Networks Begin with Strong Healthcare Provider Relationships
Strong provider relationships are the foundation of effective healthcare networks. By leveraging long-standing partnerships, deep provider insights, and an extensive network, healthcare payors can build compliant, high-performing networks faster—improving access to care while maintaining efficiency, flexibility, and strong collaboration across the healthcare ecosystem.
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Medicare Advantage Network-based Services – White Paper
Healthcare organizations face growing pressure to manage cost, compliance, and network complexity in Medicare Advantage. This white paper shows how network-based services streamline key functions, improve efficiency, and expand access to quality care.
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Karen Eaton to Lead MultiPlan’s Efforts in the Government Market
MultiPlan appointed Karen Eaton as Vice President of Sales and Account Management for its Government segment, leveraging her extensive experience to drive growth and expand solutions for federal and public healthcare programs.
Category: Government Markets
