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What Alignment Healthcare is doing in preparation for Medicare open enrollment

MedCity News

The insurer is expanding its offerings for its $0-premium Preferred Provider Organization plans and special needs plans for dually eligible beneficiaries. Alignment is adding 14 counties to its footprint, bringing its reach to 8.3 million Medicare-eligible adults in 52 markets.

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Berkshire Hathaway Homestate Companies (BHHC), Workers Compensation Division Partners with Clarify Health to Enhance Care for Injured Workers through Data-Driven Approach

Clarify Health

–(Business Wire)— Berkshire Hathaway Homestate Companies (BHHC), Workers Compensation, a leader in workers’ compensation insurance, and Clarify Health , a leading healthcare analytics, and value-based payments platform company, are pleased to announce a new partnership to improve quality of care and outcomes for injured workers.

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Network Optimization Strategies for Payers: A Look at Provider Network Adequacy

Clarify Health

A well-balanced and adequately resourced provider network is a strategic asset for payers in the highly competitive healthcare insurance market. When looking to optimize, it is critical to ensure network adequacy or the provider network’s ability to meet the healthcare needs of an insured population.

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How payers and providers can leverage data analytics to provide better care for aging populations

Clarify Health

Identifying Structural Challenges While providers and payers can explore innovative solutions and approaches for managing better care for aging adults, there are also significant structural challenges, including different reimbursement models between commercial insurance plans and Medicare. Prices varied widely across states as well.

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Fewer Prescribers Are Driving NBRx Than You Think—Here’s Why

PM360

While it’s unsurprising that patients flock to these cheaper alternatives to treat common conditions, generic medications aren’t as accessible for specialized conditions, which gives pharma marketers an opportunity to drive scripts where the market is less crowded. References: 1.

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What Seniors Should Know About Home Health

MedCity News

If you have Original Medicare or a Medicare Advantage health plan, home health benefits are often covered at no cost – although it’s always good to check with your insurance provider. Home health clinicians are specially trained to educate patients and their caregivers on a personalized nutrition plan.

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Navigating the Complexities of Medical Sales Staff Recruitment: A Comprehensive Guide

Rep-Lite

Recruiting staff requires compliance with various legal and ethical standards, such as HIPAA (Health Insurance Portability and Accountability Act) and industry-specific medical device or pharmaceutical sales regulations. Specialized Recruitment Strategies Tailor recruitment strategies for different roles.