The No Surprises Act continues to evolve, creating new operational challenges and opportunities for healthcare organizations. Explore the latest 2026 IDR trends, Final Rule updates, and proven strategies to reduce administrative burden, improve eligibility screening, optimize negotiations, and drive long-term operational improvements.
Healthcare affordability and access are often viewed as competing priorities—but they don’t have to be. By leveraging data-driven insights, network strategy, and greater price transparency, healthcare organizations can make smarter decisions that improve value for employers, providers, and patients alike. Discover how better decision-making can reduce costs, maintain access to quality care, and create a more transparent, consumer-focused healthcare experience.
Chris Hayden speaks with Dr. Jigar Patel of Claritev about why patient leakage is so hard to detect, how data limitations—especially for rural hospitals—obscure revenue loss, and why specialty care drives the greatest outflow in today’s mobile healthcare environment.
Healthcare providers are facing mounting financial pressure driven by rising costs, complexity, and misaligned incentives. This blog explores how leveraging data and AI can bring greater transparency to pricing, uncover hidden opportunities, and enable smarter decisions that improve both financial performance and patient engagement.
Alternative health plan services often raise questions, and that’s exactly why this Q&A Guide was created. Based on real conversations with brokers and employers, it offers straightforward answers that cut through confusion and help you understand how these plans work, who they’re for, and the impact they can make.
The No Surprises Act (NSA) protects patients from unexpected medical bills, but it also brings new challenges for health plans. In this blog post, we answer key questions about how the NSA works, which claims are affected, and how payors can stay compliant.
For self-insured employers, the real value in data comes from turning those insights into action that optimizes your benefits program.
The Federal No Surprises Act (NSA) and state-level surprise billing laws share a common mission: shielding patients from unexpected medical bills. However, the mechanisms they use to achieve this goal can differ significantly. From how terms are defined to how disputes are resolved, understanding these differences is essential for compliance and effective administration.
Employers are overwhelmed by fragmented benefits data but lack the insights needed to act. This piece explores how unifying and analyzing clinical and financial data can uncover cost drivers, improve visibility, and enable smarter, more strategic benefits decisions.
