Payer Solutions

  • Care Coordination: The Building Blocks of Trust and Engagement

    Care Coordination: The Building Blocks of Trust and Engagement

    To enhance and optimize engagement, plans must create a foundation of trust with members and use every multichannel step of their healthcare journey as an opportunity to build the relationship.

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  • Healthcare Subrogation: How Healthcare Payers Could Recoup Billions in Recovery Savings

    Healthcare Subrogation: How Healthcare Payers Could Recoup Billions in Recovery Savings

    Successful subrogation means a refund for healthcare payers and their members. Learn about the latest industry trends and how to recoup the most savings.

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  • Credit Balances: The big benefits of a third-party approach

    Credit Balances: The big benefits of a third-party approach

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  • Successful COB Starts with Good Data

    Successful COB Starts with Good Data

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  • Webinar: State of Health Plan Subrogation54:40

    Webinar: State of Health Plan Subrogation

    Expert tips on maximizing subrogation success webinar presentation, co-sponsored by Conduent. This webinar included a lively panel discussion moderated by MCOL's President, Clive Riddle, with Debra Wh

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  • Applying targeted pharmacy audit solutions to help a nationwide health plan capture millions in recoveries.

    Applying targeted pharmacy audit solutions to help a nationwide health plan capture millions in recoveries.

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  • Helping a major health plan leverage CAQH COB Smart files to recover millions through previously unidentified Coordination of Benefits oppor

    Helping a major health plan leverage CAQH COB Smart files to recover millions through previously unidentified Coordination of Benefits oppor

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  • Digital Transformation in Healthcare: Three Disruptions Reshaping the Landscape

    Digital Transformation in Healthcare: Three Disruptions Reshaping the Landscape

    Healthcare disruption is increasingly being viewed through a strategic lens, where forward-thinkers see the benefits of intentional, strategic disruption to drive positive change.

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  • Recovering billions in savings delivering subrogation solutions for a major U.S. insurer

    Recovering billions in savings delivering subrogation solutions for a major U.S. insurer

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  • Helping a major health plan leverage CAQH COB Smart files to recover millions through previously unidentified Coordination of Benefits oppor

    Helping a major health plan leverage CAQH COB Smart files to recover millions through previously unidentified Coordination of Benefits oppor

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  • Managing credit balances for a major U.S. health plan and generating millions in annual recoveries

    Managing credit balances for a major U.S. health plan and generating millions in annual recoveries

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  • Get More from Your Payment Recovery Efforts

    Get More from Your Payment Recovery Efforts

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  • e-Book: Sharpening the Focus on Medical Overspend

    e-Book: Sharpening the Focus on Medical Overspend

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  • Healthcare Payer Operations – Services PEAK Matrix® Assessment 2020

    Healthcare Payer Operations – Services PEAK Matrix® Assessment 2020

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  • How Major Healthcare Payers are Automating Open Enrollment

    How Major Healthcare Payers are Automating Open Enrollment

    Advanced digital capabilities take the stress out of the busiest time of the year

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  • Creating a 360 Degree View: How Healthcare Payers Can Transform the Member Experience

    Creating a 360 Degree View: How Healthcare Payers Can Transform the Member Experience

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  • Case Study Healthcare Payer Managed Care

    Case Study Healthcare Payer Managed Care

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  • eBook: Mission Critical - Staying resilient together in the face of uncertainty

    eBook: Mission Critical - Staying resilient together in the face of uncertainty

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  • Assessing Your Core Administration Processing System

    Assessing Your Core Administration Processing System

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  • Modernizing Outbound Communication Print and Digital Processes for Business Efficiency

    Modernizing Outbound Communication Print and Digital Processes for Business Efficiency

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