During an EHR transition, the biggest risk often isn’t the future-state platform—it’s the current-state environment that continues to power patient care, clinical workflows, revenue cycle operations, and regulatory requirements. Learn why leading health systems prioritize operational stability, governance, and visibility throughout the transition process to reduce risk, maintain performance, and maximize the value of transformation.
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.
Claritev’s PHCS Network has achieved its twelfth consecutive NCQA Accreditation in Credentialing, showcasing its commitment to healthcare excellence. With a skilled team supporting over one million practitioners, this achievement enhances quality care across the nation. Learn more in the full press release.
In the property and casualty world, out-of-network medical bills represent a large portion of all new bills — over 50% in some states. So, property and casualty payors must take care in choosing an out-of-network solution. In this post, we list our top five considerations when choosing an out-of-network solution for your workers’ compensation or auto medical bills.
MultiPlan is honored its Dynamic Negotiation Offer solution has been awarded as the “Best Healthcare InsurTech Solution Provider” in the 7th annual MedTech Breakthrough Awards. The solution has advanced capabilities that utilize intelligent claims automation for a specified subset.
Claritev's PHCS Network is the largest independent, nationwide primary preferred provider organization (PPO). It is the preferred choice for health plans wanting a provider network with flexibility to meet their unique needs. Plans get administrative ease without sacrificing provider access, savings, and quality for health plan members.
In 2022, MultiPlan’s PHCS Network, the largest primary PPO in the nation, received its 11th consecutive Accreditation in Credentialing from the National Committee for Quality Assurance (NCQA), a private nonprofit organization dedicated to improving health care quality. The PHCS Network is the only national independently contracted primary PPO with NCQA accreditation, demonstrating its unique commitment to the accurate and efficient credentialing of health care professionals.
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.
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.
MultiPlan’s PHCS Network earned its tenth consecutive NCQA certification in credentialing, highlighting its consistent commitment to quality standards and rigorous provider review processes.