Five Shifts Reshaping TPA Cost Management
Our Executive Brief explores five shifts reshaping TPA cost management and what they could mean for TPAs looking to strengthen their role with employers.
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The Fountain of Youth in Healthcare is Fostering an Innovation Mindset
What keeps a 45-year-old healthcare company innovative in a rapidly changing market? Learn how strategic investment, operational agility, and actionable insights help organizations navigate disruption, embrace AI, and make better decisions for the future.
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The Operational Value of Healthcare Pricing Intelligence
Healthcare transparency data offers significant potential, but turning it into actionable insights requires the right strategy. Learn how healthcare pricing intelligence helps organizations improve decision-making, cost management, and network performance.
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Rethinking Payment Integrity: Why Prevention Is a Strategic Advantage
Stopping overpayments before they occur can generate significantly greater value than recovering them after the fact. Explore the advantages of pre-pay payment integrity programs and the key capabilities payers should evaluate to maximize performance and reduce risk.
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Beyond Cost Containment
Learn how TPAs can improve affordability, scale efficiently, and make better decisions with connected infrastructure that drives growth, efficiency, and long-term profitability.
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No Surprises Act Updates and Strategies to Drive Operational Improvements
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.
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The Connection Between Better Decision-Making and Healthcare Affordability
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.
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Stemming Revenue Leakage in Hospital System: Dr. Jigar Patel on Podnosis
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.
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Harnessing Data and AI to Reimagine Healthcare Economics
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.
