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Massachusetts insurer details its unequal payments
Newly released documents from MA-based insurer Harvard Pilgrim Health Care Inc. detail how certain hospitals and...
Web Exclusive: Pure Genius: TPA and Hospital Collaborate to Decrease Denials and Save
Claims processing has been a slow and inefficient process on both sides, leading to large financial losses. After years...
Web Exclusive: TRICARE Protests: Round 2
For organizations interested in federal healthcare contracting, the lessons from a series of TMA contracts and the...
Hopkins says CareFirst owes $2 million in claims
Johns Hopkins Healthcare LLC is suing CareFirst of Maryland Inc. for $2 million, claiming the insurer owes it that much...
Magazine: Get What You Deserve
A new Web-based system helps Emory Healthcare recover contractual underpayments.
Missouri-based system to sever contract with UnitedHealthcare
Kansas City, MO-based St. Luke's Health System has announced that it intends to terminate its contract with...
Dispute puts some Humana patients in a bind
When a doctors’ organization and Louisville, KY-based insurere Humana Inc. could not agree on a new contract...
California hospital ends Medi-Cal contract
Simi Valley (CA) Hospital has terminated its state contract to accept Medi-Cal patients and will now treat such...
Audio: Give and Take
HCPro recently published a book titled Top Managed Care Contracting Clauses, which was edited by Robin Fisk, an...
Magazine: Reimbursement Trends
Reimbursement Trends: Perhaps no issue looms larger for providers and payers alike than reimbursement.

Book: Managed Care Contracting Survival Guide for Healthcare Providers:
The Managed Care Contracting Survival Guide is a must-have resource for managed care directors and their staff. It...
Book: The RAC Survival Guide:
The RAC Survival Guide is a comprehensive resource that will help you navigate the complex RAC process from beginning...