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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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In letter to lawmakers, cancer patient advocates call for more action in fighting drug shortages

Fierce Pharma

. | In its letter to congressional leaders, the American Cancer Society Cancer Action Network (ACS CAN) outlined the root causes of drug shortages and offered potential solutions. Further, the group detailed the impact of the crisis on both adult and child cancer patients.

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Simplifying the Maternal Care Network

MedCity News

Innovative organizations are centralizing the coordination of all patient care aspects, seamlessly integrating with providers’ electronic health records, existing workflows, and health information exchanges. A new era in maternal care is emerging with the advent of maternity care management platforms.

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Why Baptist Health Joined Nuanceā€™s Precision Imaging Network

MedCity News

Nuance recently added Baptist Health and Einstein Healthcare to its precision imaging network, a platform that allows healthcare providers to adopt AI-powered diagnostic imaging tools at the point of care.

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Butterfly Network Launches AI Tool for Point-Of-Care Lung Ultrasounds

MedCity News

Butterfly Network recently launched an AI tool that can provide medical practitioners with an accurate B-line count from just a six-second lung ultrasound clip. By automatically counting B-lines in a lung image, the tool helps doctors quickly identify and assess a patient’s lung issues at the point of care.

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Building a Robust Provider Network with SDoH Insights

Clarify Health

When building provider networks, it is crucial to include providers who can assess and address social determinants to ensure that care is equitable, patient-centered, and effective in improving health outcomes and reducing healthcare disparities.

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How payers can use healthcare data to enhance network adequacy

Clarify Health

Designing and maintaining a healthcare network is no simple taskā€”especially when it comes to meeting the needs for accessibility, quality, and cost across a diverse pool of members. Health plans need to design networks that offer members reasonable access to in-network providers to ensure the network is adequate to meet their health needs.