Open Enrollment Readiness: Expert Insights from HealthAxis – Compliance Edition
Welcome to the first installment of our blog series, Open Enrollment Readiness: Expert Insights from HealthAxis. This series is designed to provide […]
Reducing Costs and Complexity with EHR Workflows for Prior Authorization
The healthcare industry faces a constant challenge: balancing rising costs with the imperative to deliver high-quality care. Prior authorization has become a […]
Navigating the Complexities and Opportunities of the Medicare Prescription Payment Plan for Health Plans
The Centers for Medicare & Medicaid Services (CMS) introduced the Medicare Prescription Payment Plan (M3P) as a part of the Inflation Reduction […]
HealthAxis InFocus: Leveraging AI Effectively
Welcome to the first installment of HealthAxis InFocus, a video series where we share insights and perspectives from our leaders based on […]
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), ensuring a […]
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 severe financial […]
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 authorization, effective […]
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 down care […]
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 strategies for […]
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% increase in […]