Ep 7 - Transparency in Coverage for Health Payers

Ep 7 - Transparency in Coverage for Health Payers

As 2021 draws to a close, transparency is one of the biggest conversations for health payers. In 2022, some requirements of the No Surprises Act and Transparency in Coverage Rule come into effect. As payers prepare to meet regulatory deadlines – both near term and those further out – it’s understandable that they might have questions they need answered.

Both of these regulations are broad and far-reaching, and will have an impact on overall healthcare costs, as well as the contracted rates for payers. In addition, while many payers have already invested a significant amount of money for meeting these mandates, there’s much more than can be done today.

These were the key themes of this Future Healthcare Today podcast, titled, “Transparency in Coverage: Helping Health Payers Understand the Final Rule,” with Dennis Charland, SVP of Sales at Sapphire Digital, which was recently acquired by Zelis.

Charland has previous sales experience Blue Cross Blue Shield of Massachusetts, and provided a closer look at what Transparency in Coverage means for payers, and explored solutions that can help ensure compliance for both upcoming mandates.

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Avsnitt(25)

Ep 25: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 2

Ep 25: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 2

On the Future Healthcare Today Podcast with Lucas Hunsicker, Kristin Gasteazoro, Senior Vice President of SmartShopper Sales and Client Performance at Zelis, and Reagan Greene, Vice President of Brand...

24 Juli 202415min

Ep 24: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 1

Ep 24: Revolutionizing Healthcare: Enhancing Engagement with Technology and Personalization Part 1

In the Future Healthcare Today Podcast, hosted by Lucas Hunsicker, featuring Kristin Gasteazoro, Senior Vice President, SmartShopper Sales and Client Performance at Zelis, and Reagan Greene, Vice Pres...

24 Juli 202421min

Ep 23: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 2

Ep 23: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 2

Despite healthcare’s critical importance, the intricate nature of insurance plans and healthcare information can often leave individuals feeling adrift. A recent Bend Financial report found that 56 pe...

21 Maj 202415min

Ep 22: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 1

Ep 22: Strategies for Meaningful Member Engagement to Simplify Healthcare Complexities Part 1

Despite healthcare’s critical importance, the intricate nature of insurance plans and healthcare information can often leave individuals feeling adrift. A recent Bend Financial report found that 56 pe...

20 Maj 202417min

Ep 21: Care Guidance Tools Helps Deliver High-Quality Care for Members

Ep 21: Care Guidance Tools Helps Deliver High-Quality Care for Members

People often turn to family, friends, and Google to make healthcare decisions and find healthcare providers. This can lead to confusion and misinformed decisions. Healthcare partners can – and should ...

18 Dec 202323min

Ep 20 - Brokers Step in to Fill Knowledge Gaps as Healthcare Becomes More Complex

Ep 20 - Brokers Step in to Fill Knowledge Gaps as Healthcare Becomes More Complex

The Affordable Care Act, far from simplifying healthcare, has introduced many more complexities, making the jobs of HR workers even more challenging as they attempt to keep pace with the fast-changing...

17 Dec 202311min

Ep 19 - New Transparency in Coverage Regulations for Machine-Readable Files Affect the Market

Ep 19 - New Transparency in Coverage Regulations for Machine-Readable Files Affect the Market

The Transparency in Coverage (TiC) regulations provide further clarification for the use of Machine-Readable Files (MRFs) for the health insurance industry. These rules require that healthcare plans a...

16 Dec 202315min

Ep 18 - Clarity, Control, and Guidance: The Future of Healthcare According to Zelis

Ep 18 - Clarity, Control, and Guidance: The Future of Healthcare According to Zelis

The healthcare industry has seen its fair share of disruptions in the last few years. With the advent of telehealth and a renewed interest in taking charge of their healthcare, many members have inter...

15 Dec 202317min

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