Know the Facts-Prior Authorization for Prescription Drugs
Prior authorization can take time to process, and it depends on what procedure your physician is prescribing and the insurance company agreeing to cover any
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
Know the Facts – Unions and Company Mergers or Acquisitions
The status of a Collective Bargaining Agreement and recognition of your union can get complicated when ownership changes hands or companies decide to move. When
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
Postnatal care coverage required for Minnesota Health Insurance Providers
Introduction Postnatal care coverage is required for Minnesota Health Insurance Providers. A law passed in 2021 made changes to private and public health coverage. Among
Conflict Management – Tips to Help
Conflicts can be difficult and stressful, but they are also inevitable in life. A successful resolution to a conflict requires a clear understanding of the
What Are ‘Captive Audience’ Meetings
In a recent decision, the National Labor Relations Board (NLRB) clarified its position on what it means to hold a “captive audience” meeting. As part
“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
Michael Brethorst, MS
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