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How Engaging Members Throughout Their Lifecycle Improves Health Outcomes and the Bottom Line

By Gary Call, M.D.
Apr. 23, 2019

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Blog Posts

How Will Medicaid Work Requirements Impact Churn and Member Retention?Jan. 26, 2018

CMS’ recent guidance to State Medicaid Directors on work requirements for non-disabled, non-pregnant adults was anticipated to those of us…

State Clinical Claim ReviewApr. 19, 2016

Avoid Errors and Prevent Inappropriate Payments. Use medical records to identify improper billing and prevent paying for erroneous claims with…

Clinical Claim Review

Clinical Claim ReviewFeb. 24, 2016

How it Works Clinical Claim Reviews apply proven algorithms to request medical records only for claims that are likely to…

Medicare Advantage Premium ProtectionJan. 13, 2016

Is Your Plan Leaving Money on the Table? Your Medicare Advantage plan likely receives information from the Centers for Medicare…

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