Health insurance plans serve as the financial backbone of health care, functioning as the crucial link between employers and providers in the $2.5 trillion industry. Topics include: claims management systems, quality improvement programs and claims processing standards.


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750 Stakeholders Prepare for Mock Attack on Networks

CMS Needs to Fully Develop Plans for Medicare Advantage Encounter Data

Analytics Roundtable: Disrupting the Status Quo

CMS Announces Three Weeks of ICD-10 Acknowledgement Testing

One-Quarter of Young Adults Lack Health Coverage

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Taking the Guesswork Out of Prior Authorization

Aetna to Phase Out CarePass Health, Wellness Platform

How well are Your Mobile Apps Vetted?

CMS Database Fails to Accurately Track RAC Activity

Medicaid Patients Not Overusing Emergency Departments

Telemedicine Could Yield $6B Annually in Healthcare Savings

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