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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...
Insurance change bars thousands of patients from Atlanta-based Grady Memorial
Thousands of patients at Grady Memorial Hospital in Atlanta must find new doctors and a new medical center because a...
CIGNA, UNC Health Care reach deal
UNC Health Care and CIGNA HealthCare of North Carolina have settled their differences and reached terms for a new...
MetroWest wants new deal with Blue Cross Blue Shield of Massachusetts
MetroWest Medical Center has told employees it may end its contract with Blue Cross and Blue Shield of Massachusetts...
Build Accountability in Your Revenue Cycle
Revenue cycle managers constantly search for the perfect benchmark information to compare their team's work with...
Web Exclusive: Healthcare Reform Driving Value Based Provider Contracting
While much of the recent media attention on healthcare reform is focused on making changes at the point of care, the...
Web Exclusive: Perseverance Can Result in New Business
With the announcement of the Department of Defense TRICARE contract awards, contributors Scott Honiberg and Jeff...
WellPoint cuts its outlook, sending shivers through shares of insurers
Shares of WellPoint plummeted more than 16 percent in after-hours trading March 10 after the company lowered its profit...

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...