Future Healthcare Today Podcast: Recent Episodes
Future Healthcare Today
The Affordable Care Act, far from simplifying healthcare, has introduced many more complexities, making the jobs of HR workers even more challenging as they attempt to keep pace with the fast-changing regulatory environment. This has created the opportunity for healthcare brokers to step in to fill knowledge gaps and extend the value of the HR team. In the highly competitive market, brokers need to be equipped with innovative technology and data capabilities to be successful.
Their expertise in understanding evolving regulations enables brokers to help navigate the complexities of benefits and forge stronger relationships with clients. Brokers uncover network gaps and facilitate comparisons with competitor network performance leading to actionable insights. Moreover, brokers improve time management, facilitate better decision-making for insurers, and deliver cost savings with programs such as SmartShopper.
These were the key themes of our recent Future Healthcare Today podcast about the broker space and how brokers can partner with employer groups to build strong client relationships. Host Lucas Hunsicker talked with Rob Graybill, Senior Vice President, Strategy & Business Development at Zelis, and explored the broker healthcare environment and how innovative solutions with advanced analytics are helping client connections.
The Transparency in Coverage (TiC) regulations provide further clarification for the use of Machine-Readable Files (MRFs) for the health insurance industry. These rules require that healthcare plans and issuers offering health insurance coverage in individual and group markets disclose in-network provider-negotiated rates through MRFs. The outcome will be increased data transparency for payers, providers, and members and improved accessibility and usability for member-facing transparency tools. One of the challenges with MRF files is that they are typically very large and require significant computing power to download, which makes it difficult for members to access them. To overcome this challenge third-party tools have been developed that provide an infrastructure to host the data so that it can be readily available. Both payers and providers can use the payer rate data to evaluate their competitive pricing position and improve provider contracting efforts. These were the key themes of our recent Future Healthcare Today podcast about how TiC regulations have affected the use of MRFs. Host, Lucas Hunsicker, talked with Dennis Charland, Senior Vice President, Transparency and DaaS Sales at Zelis, about the recent release of MRF rate-based files and how they will change the market.
According to a recent Zelis survey, members want clarity, control, and guidance from plans, what does this mean for the future of healthcare?
In part two of this podcast series, FHT learns more about the many benefits that RBP can provide payers and their members.
In the evolving healthcare industry, Future Healthcare Today investigates what role a reference-based pricing model can play.
Zelis healthcare network solutions experts return to FHT to share the benefits of joining a provider network.
FHT hears from network solutions experts about how the evolving nature of healthcare is changing what payer networks need to thrive.
FHT hears what it takes for health plans and TPAs to create a competitive modern healthcare network.
Future Healthcare Today hears from Jillian Carlile and Paul Nance with Zelis about the importance of healthcare accessibility and adequacy.
FHT talks with Paul Nance of Zelis to find out why networks should be holistic when choosing healthcare providers.
In the latest podcast on Future Healthcare Today, Madison Goldfischer returns to share how improving the member journey is crucial for the future of the industry.
The healthcare provider market has been in flux over the past few years with the challenges of the pandemic impacting healthcare operations among other trends. To help providers better understand and manage the challenges of this uncertain environment, there are important trends to be aware of, like growth in providers contracting with managed care plans across the market segments. Additional findings from the recently released State of the Provider Network Market Report 2022 suggest there is a positive growth in new hospitals, with micro-hospitals in satellite locations being of particular interest. These have primarily opened in more rural areas and demonstrate a larger shift towards more accessibility for traditionally less serviced communities. Conversely, there is an increase in providers, but out of approximately 10,000 new providers, only two percent were in rural locations. These were the key themes discussed in the recent Future Healthcare Today podcast with Jillian Carlile, Senior Product Analyst at Zelis. Carlile provided insight into the current state of the healthcare provider market and the ongoing changing impacting it.
On February 23rd, the U.S. District Court for the Eastern District of Texas struck down the part of the interagency interim final rule implementing the “independent dispute resolution” (IDR) procedures.Matthew Albright, Chief Legislative Affairs Officer at Zelis; and Cate Brantley, Legislative Analyst at Zelis, provide a deep-dive perspective on the IDR process and its impact on health payers.
Welcome to the “Transparency in Coverage: Helping Health Payers Understand the Final Rule” podcast hosted on Future Healthcare Today. Transparency is one of the biggest conversations for health payers as 2021 draws to a close. With just a few weeks until the No Surprises Act comes into effect, as well as the final rule for Transparency in Coverage, it’s understandable that payers might have questions they need clarified.Today, we are speaking with Dennis Charland, SVP of Sales at Sapphire Digital, which was recently acquired by Zelis. Dennis has previous experience being a National and Consultant Sales at Blue Cross Blue Shield of Massachusetts, and he will provide a closer look at what Transparency in Coverage means for payers and explore solutions that can help ensure compliance for both this rule and the No Surprises Act.
Ensuring Reasonable and Acceptable Reimbursements with the No Surprises Act by Future Healthcare Today
In an emergency first responders need to focus on the critical situation in front of them and not worry about the security and reliability of their technology and connectivity. When creating a mobile hotspot, using 4G LTE Vehicle Internet (VI) is one way that EMS services can have reliable and fast connectivity in the field. With the connectivity enabled by LTE VI first responders can do what needs to be done from any location and focus on critical work. These were the key themes of our latest Government Technology Insider podcast, where Justin St Arnauld, Associate Director and Solution Architects at Verizon Wireless, and Steve Carr, Sales Director of Public Sectors in the Central Area at Cradlepoint, discussed how LTE VI solutions are helping first responders to successfully deliver on their mission.
In our latest “Public Health Trends in 2021 & Beyond: What a Difference a Pandemic Makes” podcast interview, executives from Verizon and the Health Sector Coordinating Council discuss how telehealth and the vaccine supply chain impacted security over the past year.
In our second podcast in this series titled, “Sustaining the Momentum of Digital Transformation in Public Healthcare – The Critical Role of AI and IoT in Patient-Centric Care,” Lindsey Fabiano, Global Enterprise Strategy Development Manager for Healthcare, Insurance & Life Science at Verizon; and Dr. Pierre Vigilance, Founder & Principal, Health_Up Strategy Advisors, and Affiliate at CityFi, discuss how the public and private sector healthcare agencies can better collaborate, as well as the future of overall healthcare delivery.
In our second podcast in this series titled, “Sustaining the Momentum of Digital Transformation in Public Healthcare – The Critical Role of AI and IoT in Patient-Centric Care,” Lindsey Fabiano, Global Enterprise Strategy Development Manager for Healthcare, Insurance & Life Science at Verizon; and Dr. Pierre Vigilance, Founder & Principal, Health_Up Strategy Advisors, and Affiliate at CityFi, will address this further.
In our new “Public Health Trends in 2021 & Beyond: What a Difference a Pandemic Makes” podcast series, executives from Verizon and Teneo discuss how innovation will be a true driver of expanded telehealth adoption for government in 2021.