XSOLIS, the company solving operational challenges in healthcare is partnering with Humana Inc to offer its real-time, predictive analytics platform for utilization review processes between Humana and participating providers. “XSOLIS offers us the opportunity to significantly reduce provider abrasion, increase our review effectiveness and streamline our efficiency in care management on behalf of our team and health plan members”, said George Renaudin, Senior Vice President at Humana.
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New Announcement for Medicare insurers: OIG
A health insurer that provides supplemental Medicare insurance and a preferred hospital organization can incentivize members to seek care at hospitals in the organization’s network, according to an advisory opinion from the HHS Office of Inspector General. The opinion involves an unnamed Medigap plan and an unnamed hospital organization. The Medigap plan covers Medicare Part A deductibles that may be incurred during a hospital stay.
Read more at DistilINFO HealthplanNew data reveal gouging of covid 19 test prices
Everyone should be able to get the COVID-19 tests they need, and health insurance providers have worked throughout the pandemic to ensure that people have access to tests needed COVID-19 testing. But new data from AHIP show that price gouging on COVID-19 tests by certain providers continues to be a widespread problem, threatening patients’ ability to get the testing they need.
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