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Contracting

Opinion: Who's to blame for surprise out-of-network bills?Across the country more states are taking steps to limit patients’ exposure to surprise out-of-network bills.
Medicaid Final Rule: Three top line issues to watchIn April CMS released final rules outlining significant updates to the Medicaid managed care program. Here are the top issues to watch.
Marilyn Tavenner discusses AHIP’s strategy
Marilyn Tavenner discusses AHIP’s strategyAHIP’s president and CEO Marilyn Tavenner discusses the association’s top priorities, challenges, and opportunities.
Eleven ways MACRA will impact your businessWhat impact will MACRA have on your organization? We asked experts to tell us.
How insurers should prepare for future ACA risk adjustmentsThe first-year results of the ACA’s Risk Adjustment Program are in. Find out how it worked out and what insurers need to do next.
Survey reveals 3 value-based payment trends to watchThe transition to value-based payment has accelerated rapidly over the past two years, and payers and providers predict even more dramatic changes.
Five ways to better prepare for open enrollmentHow approaching the open-enrollment process with a customer-centric mindset promotes member retention.
M&A outlook for payers and providers
M&A outlook for payers and providersA glimpse into the present and future of healthcare industry mergers and acquisitions
Shaping specialty pharmacy’s future: 4 perspectivesAt AMCP, four stakeholders representing the specialty pharmacy perspective, manufacturer perspective, payer perspective, and PBM perspective shared their thoughts on the future of specialty pharmacy.
Four steps to a successful healthcare M&A strategyHealthcare organizations must better incorporate change management and cultural integration into their M&A strategy. Here's how.