Provider access is the biggest hurdle to successfully implementing a non-traditional health plan. Whether you are utilizing a reference-based pricing strategy or another alternative, direct…
Claim denials are a complex piece of the healthcare system, and they can cause frustration for patients and providers alike. There are many…
A strong balance bill defense is essential to a successful reference-based pricing health plan. But what does that look like?…
In the second half of our discussion on PBMs, Marc A. Sweeney, Pharm.D., BCMAS, Trevor Daer and Mike Kroupa return to give…
Unbundling health plans can be rewarding for both employers and their employees, but it’s no secret that it comes with a unique set of…
BUCAs may seem like the easy, all-inclusive choice, but they don’t offer the personal, one-on-one assistance most health plan members actually prefer. Plus, no…
This month’s episode of ClaimTalk is the second half of a discussion with brokers and industry experts Craig Gottwals and Mike Kerns.
This month’s edition of ClaimTalk is the first half of a two-part discussion with brokers and industry experts Craig Gottwals and…
Access will always be an obstacle with RBP medical plans. At ClaimDOC, we believe obstacles can be overcome.