Automating Prior Authorizations–It is a must and not a want!
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
Reducing Costs – Accountable Care Organizations (ACOs)
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
No Surprises Act – Is it good for American Health 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” Insurance Prior Authorization – Is it the Gold Standard for Heath Care?
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
2023 and beyond – Hold on to your seats – more Healthcare Insurance Regulations
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 in Health Insurance – Explained
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
How to get a Grammarly Account for FREE
We did your homework for you! If you need a Grammar Checker. We did the research and tested other software packages and tested them in
The United States compared to the Canadian – Health Care System
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
The United States compared to Mexico’s – Health Care Systems
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 – a brief US History
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.
Michael Brethorst, MS
Chief Contributor
We provide practical and usable real world solutions to common and complex Human Resource questions. All of our articles are based in fact.
Michael Brethorst
My personnel Favorites
Sponsor
