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CMS Finalizes Revolutionary Prior Authorization Rule
The Centers for Medicare & Medicaid Services (CMS) has recently made a groundbreaking move by finalizing a rule to streamline...
NaviNet
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7 Ways Health Plans Can Improve Quality in Cancer Care
The Problem with Poor Quality of Care Poor quality of care, particularly in oncology, continues to impact health plans and...
Eviti
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CMS Drug Price Negotiations: A Path to Affordable Medication Access
The landscape of Medicare is undergoing a transformative change, driven by the Inflation Reduction Act of 2022 and the Centers...
NantHealth
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Cracking Down on Drug Prices: A Prescription for Positive Change
In the ever-evolving landscape of American healthcare, one issue remains a constant concern for patients, providers, payers, and policymakers alike—the...
Eviti
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Payers Take a Hit from Lower Medicare Advantage Star Ratings
Now that the Centers for Medicare & Medicaid Services (CMS) has lowered the boom on payers by dropping the star...
NantHealth
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Health Equity, Women’s Health, and Artificial Intelligence Take Center Stage at AHIP 2023
After attending my first AHIP (America’s Health Insurance Plans) national conference, I was struck by the level of engagement and...
NantHealth
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Understanding Oncologic Emergencies: The Ten Most Widely Recognized Types
According to the American Cancer Society, more than 18 million people in the U.S. have cancer, and many of them...
Eviti Connect
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The Role of Prior Authorization in Value-Based Cancer Care
According to a study published in The Commonweath Fund Issue Brief titled U.S. Health Care from a Global Perspective, 2022:...
Eviti Connect
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Inspector General Asks Health Plans to Stay Vigilant about Fraud, Waste, and Abuse
Health plans are used to risk. In fact, it’s part of their DNA. But if there is one risk health...
NantHealth
Image of the year 2022 turning into 2023 illustrated with wooden blocks
Top Concerns in Healthcare Rolling into 2023
What are the biggest concerns in healthcare going into 2023? No surprises coming out of our recent LinkedIn survey –...
NantHealth
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11 Tips Payers can use to Automate and Streamline the Prior Authorization Process
How can health plans improve the prior authorization process? To continue our NaviNet Prior Authorization Playbook series, here are 11...
NaviNet
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5 Ways Authorization Interoperability Saves Time and Money
Prior authorizations are one of the most costly and time-consuming transactions for both payers and providers. In fact, according to...
NaviNet Open

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