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Open Enrollment Readiness

Ensuring a Successful Open Enrollment: Key Areas for Healthcare Payers & TPAs

As healthcare payers and third-party administrators (TPAs) gear up for the open enrollment period (OEP) and annual enrollment period (AEP), […]

Non-Compliance

The Impact of Non-Compliance for Healthcare Organizations

In the intricate realm of healthcare, healthcare organizations confront the daunting challenge of adhering to stringent regulations. Non-compliance can precipitate […]

Utilization Management (UM)-Focused Audits

Critical Prep Areas for 2024 Utilization Management (UM)-Focused Audits

The 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F) introduced new constraints on Utilization Management (UM) policies, particularly prior […]

FHIR® in Action: Streamlining Prior Authorization

FHIR® in Action: Streamlining Prior Authorization

Traditionally, prior authorization has been a complex, time-consuming process fraught with inefficiencies. Disconnected systems and manual procedures not only slow […]

Panel

Investing in Healthcare IT: AI Innovations for Healthcare Payers

The McGuireWoods Healthcare Private Equity & Finance Conference remains a premier event that convenes healthcare industry leaders to explore innovative […]

Maximizing Member Retention: Transforming Pain Points into Positive Experiences

Maximizing Member Retention: Transforming Pain Points into Positive Experiences

Member retention is paramount in a competitive healthcare landscape. A classic Harvard Business Review study revealed that a mere 5% […]

National Nurses Week

Celebrating Insight and Inspiration: 2024 National Nurses Week Spotlight on HealthAxis’ LPNs and RNs

At HealthAxis, we’re immensely proud of our team’s diverse experiences and expertise. This National Nurses Week, we’re spotlighting some of […]

Ethics, Equity, & Data: The Core of Artificial Intelligence in Healthcare

The healthcare industry is poised for a transformative era driven by artificial intelligence (AI). AI’s role in automating tasks and […]

Insights from the 2024 HIMSS Conference: Exploring the Future of Healthcare Technology

Insights from the 2024 HIMSS Conference: Exploring the Future of Healthcare Technology

The HIMSS Global Health Conference & Exhibition, held in Orlando, Florida, from March 11 to 15, 2024, provided a profound […]

Strategic Accelerations: Critical Business Initiatives for U.S. Healthcare Payers Part 2

Strategic Accelerations: Critical Business Initiatives for U.S. Healthcare Payers Part 2

In Part One of this series, we examined the initiatives Gartner identified as key areas for acceleration,1 following their extensive […]

Strategic Accelerations: Critical Business Initiatives for U.S. Healthcare Payers Part 1

Strategic Accelerations: Critical Business Initiatives for U.S. Healthcare Payers Part 1

U.S. healthcare payers and third-party administrators (TPAs) face a complex array of business and technology initiatives driven by evolving market […]

National Minority Health Month

National Minority Health Month: Be the Source for Better Health

April marks an important observance in the healthcare calendar: National Minority Health Month. This month is dedicated to raising awareness […]