CMS Medicare Advantage Acquisition Guidance: What Off-Cycle Service Area Expansion Means for Healthcare Payers
CMS has added flexibility for certain Medicare Advantage acquisitions. Learn what off-cycle service area expansion could mean for healthcare payer...
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Before Adding Claims Adjudication Capacity, Ask These Six Questions
Imagenet outlines six questions payer leaders should ask before adding claims adjudication capacity, with a focus on root causes, visibility,...
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Digital Mailroom Governance: 7 Questions Payer Leaders Should Ask After Go-Live
Review seven questions payers should ask about digital mailroom governance, including reporting, escalation, backlog controls, change management, and accountability.
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Digital Mailroom Transition: 10 Questions Payer Leaders Should Ask Before Go-Live
Explore 10 questions payers should ask before a digital mailroom transition, including discovery, testing, cutover, reconciliation, hypercare, and governance.
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Stabilize Before You Scale: A Claims Backlog Recovery Infographic
This infographic outlines five areas healthcare payer leaders should assess before adding claims capacity, with a focus on stabilizing backlog...
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How Payer Operations Shape Member and Provider Experience
Member and provider experience depends on the payer operations behind each interaction, from intake and claims to communications, support, AI,...
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Infographic: 3 Reasons Claims Backlog Recovery Falls Short
Claims backlog recovery efforts often focus on increasing throughput, but staffing alone rarely addresses the underlying operational challenges. This infographic...
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Infographic: A Call Is Never Just a Call in Healthcare Payer Contact Centers
An inside look at the operational workflows behind healthcare payer contact center interactions—and why they matter more than the call...
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Infographic: 4 Areas to Evaluate for Enrollment Readiness
Enrollment readiness is not just about one point in time. For healthcare payers, it depends on how efficiently enrollment-related information...
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Prioritizing AI in the Digital Mailroom: Where Health Plans Should Start
A practical roadmap for health plans on where to apply AI first in the digital mailroom—focused on claims intake, appeals,...
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How Payers Stabilize Digital Mailroom and Paper-to-EDI Intake During Disruption
A summary of Vidhya Bhat’s Healthcare IT Today article on how payers stabilize digital mailroom and paper-to-EDI intake during operational...
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Digital Mailroom + Paper-to-EDI Continuity Checklist
A continuity checklist for payers reassessing intake risk after cyber incidents—stabilize mail/fax/email/portals/e-feeds and protect paper-to-EDI accuracy.
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