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Blogs

Part 19: Health Systems View Consumer Shopping as Leakage

Jun 20, 2025

Part 19: Health Systems View Consumer Shopping as Leakage

If you are managing a self-funded plan, know that 55% of physicians are health system employees. The...

Part 18: Why Doesn't Anthem have Professional Contracted Rates?

Jun 19, 2025

Part 18: Why Doesn't Anthem have Professional Contracted Rates?

I'm not at all a provider contracting expert but do know when it feels like I'm paying too much for ...

Part 12: 25 Months of Transparency: How Payer MRFs Are Reshaping Healthcare

Jul 29, 2024

Part 12: 25 Months of Transparency: How Payer MRFs Are Reshaping Healthcare

For 25 months now, a quiet revolution has been unfolding in the healthcare industry. The Transparenc...

Part 7: The Need for Simplicity in Empowering Healthcare Choices

Apr 15, 2024

Part 7: The Need for Simplicity in Empowering Healthcare Choices

The TiC Rule marked a significant shift towards empowering healthcare consumers through the requirem...

Part 6: The Race Is On: Don't Get Left Behind 🏇

Apr 8, 2024

Part 6: The Race Is On: Don't Get Left Behind 🏇

The stakes have never been higher. Payer MRF data is more than just procedure codes and contracted r...

Part 5 - Payer MRFs: Enhancing Plan Fiduciary Monitoring and Decision Making 🦌

Apr 1, 2024

Part 5 - Payer MRFs: Enhancing Plan Fiduciary Monitoring and Decision Making 🦌

Navigating the complexities of managing a group health plan can be a daunting task for fiduciaries, ...

Part 4 - Payer MRFs - "Why Can't I Get to the Valuable Insights????"

Mar 25, 2024

Part 4 - Payer MRFs - "Why Can't I Get to the Valuable Insights????"

Payer Machine-Readable Files (MRFs) contain detailed contract rates between payers and providers tha...

Part 3 - Transforming Healthcare: The TiC Rule's Positive Impact on Providers

Mar 18, 2024

Part 3 - Transforming Healthcare: The TiC Rule's Positive Impact on Providers

Healthcare providers now have a golden opportunity to redefine their approach to strategic pricing, ...

Part 2: The TiC Rule Empowers Consumers through Access to Contract Rates

Mar 18, 2025

Part 2: The TiC Rule Empowers Consumers through Access to Contract Rates

The Transparency in Coverage Rule (TiC) has revolutionized the healthcare landscape, much like a mod...

Part 1: Introduction to Transparency in Coverage Rule

Mar 4, 2024

Part 1: Introduction to Transparency in Coverage Rule

At the heart of our discussion is the Transparency in Coverage Rule (TiC Rule), a groundbreaking pol...

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Trending Blogs

Part 19: Health Systems View Consumer Shopping as Leakage

If you are managing a self-funded plan, know that 55% of phy...

Part 18: Why Doesn't Anthem have Professional Contracted Rates?

I'm not at all a provider contracting expert but do know whe...

Part 2: The TiC Rule Empowers Consumers through Access to Contract Rates

The Transparency in Coverage Rule (TiC) has revolutionized t...

Part 12: 25 Months of Transparency: How Payer MRFs Are Reshaping Healthcare

For 25 months now, a quiet revolution has been unfolding in ...

Part 7: The Need for Simplicity in Empowering Healthcare Choices

The TiC Rule marked a significant shift towards empowering h...

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