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In a world of nearly instantaneous money transfers, digitized enrollment data, and complex insurer core admin systems, it’s surprising that benefits billing causes significant headaches to both [...]

Previously, we wrote about health equity, network adequacy, and essential community providers due to the proposed changes outlined in the 2023 Notice of Benefit and Payment Parameters Proposed [...]

Recently, CVS Health released its 2021 Environmental, Social and Government (ESG) Report. As the parent company that owns a retail pharmacy chain, CVS Pharmacy, a pharmacy benefits manager, CVS [...]

Most benefits administrators’ first foray into building technology involved enrollment and eligibility platforms. As they gained market share, their customers began to ask them for consolidated [...]

Simply put, a poor health insurance member experience can hurt an insurance company financially. Take Medicare Advantage enrollment, for example. CMS assigns Medicare Advantage plans star ratings [...]