As employers look for new ways to control healthcare costs and provide innovative healthcare offerings to their employees, employers are starting to consider the “direct-to-provider” contracting model as a way to achieve...more
As we approach the end of the year, many providers are in the process of negotiating renewals of their network contracts with health plans. Below are a few “best practices” ideas for providers to consider as they approach...more
Payers are increasingly establishing purported “site of service” policies and guidelines that restrict the circumstances under which members may obtain certain services at hospital outpatient departments (HOPDs). In the...more