Automation has proven successful for other essential healthcare administrative processes, providing momentum for ongoing efforts to improve and automate the preauthorization process so that it
Accountable Care Organizations (ACOs) show us a way to improve efficiency along with quality in healthcare. They are voluntary groups of providers delivering coordinated care
The No Surprises Act significantly impacts the revenue for out-of-network specialties and primary care. This coming year will be a difficult year for healthcare managers
Gold Card Prior Authorization is a healthcare program that streamlines the prior authorization process for some of the most commonly prescribed medications. It can help
In the insurance industry, there is always something new to learn. Regulations and rules within the United States are constantly changing, which affects how health
Prior authorization, a tool long used to control spending and promote cost-effective care, is in the spotlight as advocates and policymakers call for closer scrutiny
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There are important differences in terms of what kind of care is covered and how much it costs. The bottom line is that both countries have found ways to ensure their citizens have access to quality medical assistance when they need it
One thing that sets the USA and Mexico apart: healthcare systems. In this post, we’ll explore how each country operates their medical system, as well as some factors that impact them (e.g., affordability).
Medicare and Medicaid are government-sponsored programs that provide health insurance to seniors, people with disabilities, and low-income families. Medicare covers U.S. citizens and permanent residents age 65 or older who have been issued social security numbers.
