The Challenge As the healthcare industry continues to undergo dynamic changes and rapid expansion, there is an immediate need to streamline processes and align data sources for optimal efficiency. Provider Network Management (PNM)_business practices and systems are outdated and inefficient, plagued by demanding back-office maintenance and low-quality data. The credentialing process historically has been especially …
Daily Archives: January 28, 2022
Individual and Family Shop & Enroll
The Background The Affordable Care Act ensures that every person has access to health insurance and that Individual and Family health insurance is available for people and their dependents. Generally, those who do not qualify for Medicare or insurance through an employer (such as Small Group or Large Group plans) will seek out this type …
Medicare Advantage Shop & Enroll
The Challenge Medicare is among the largest and fastest-growing segments in healthcare. Created in 1965, the federal health insurance program today has 64 million seniors enrolled. Each year, approximately four million Baby Boomers are aging into Medicare, more than 10,000 a day, and the number of beneficiaries enrolled in the program is projected to reach …