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MA star ratings, high utilization challenge insurer performance
Finance/RCM

MA star ratings, high utilization challenge insurer performance

7:00

Medicare Advantage insurers need to address the social determinants of health to bring down costs, says Lauren Barca, vice president of quality at 86Borders.

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6:03

Hospital price cap signed into law in Indiana

On May 6, the Indiana governor signed legislation requiring every not-for-profit hospital to have charges equal to, or less than the state average, says Hal Andrews, CEO of Trilliant Health.

Hospital price cap signed into law in Indiana
On May 6, the Indiana governor signed legislation requiring every not-for-profit hospital to have charges equal to, or less than the state average, says Hal Andrews, CEO of Trilliant Health.
6:03
9:32

Payers need to build trust by listening

Health plans that are transparent and offer access to care and member benefits have great Net Promoter Score (NPS) results, says Rita Sharma, chief product officer at Pager Health. NPS measures customer loyalty and satisfaction.

Payers need to build trust by listening
Health plans that are transparent and offer access to care and member benefits have great Net Promoter Score (NPS) results, says Rita Sharma, chief product officer at Pager Health. NPS measures customer loyalty and satisfaction.
9:32
8:12

Claim review as a necessity to avoid costly procedures

Coders and clinicians need to have a meeting of the minds, says Christine Stetler, a registered nurse and AVP of Solution Engineering at MedeAnalytics.

Claim review as a necessity to avoid costly procedures
Coders and clinicians need to have a meeting of the minds, says Christine Stetler, a registered nurse and AVP of Solution Engineering at MedeAnalytics.
8:12