Notes from the work.
Writing on managed care contracting, payer behavior, price transparency data, and what we're seeing in the files.
No Surprises Act & IDR
Your Payer's QPA May Not Reflect Market Reality
HHS recently finalized a rule changing the economics for out-of-network dispute resolution. Here's what matters.
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How to Use Transparency-in-Coverage Data for Payer Negotiations
Payers have had visibility into market pricing for years. Transparency-in-Coverage data means providers finally can too — and how you use it changes everything about the negotiation.
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