ICD-10: What now?

The painful transition to the ICD-10 classification scheme has been made substantially more painful by repeated delays in the implementation date. Further training, education and testing are crucial, assuming that the transition does go forward in October 2015. » More

Achieving high quality ratings has increasingly become important for Medicare Advantage and commercial health plans. By delivering tools to providers that help identify and close gaps in care; health plans have the ability to directly impact their HEDIS and CMS Star ratings. Download our Best Practices for Improving Quality Scores.

Insurers challenge high drug prices

The uproar over the $84,000 cost of treating hepatitis C with Gilead's new drug Sovaldi (sofosbuvir) has prompted insurers to launch a high-profile attack on exorbitant drug prices.
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Narrow networks perform balancing act with access to specialty care

Physicians are reporting issues over making referrals for patients who have purchased some of the lower-cost plans under the ACA; they are also trying to determine what specialists accept the plans.
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