Managed Care Operations
Expert articles and analysis related to managed care operations.
AI Summary — Last 24 Hours
Managed care operations are tightening around eligibility, network accuracy, and site-of-care economics: the IRS is moving to restrict ACA subsidy access, which could pressure exchange enrollment stability and payer risk pools just as insurers face renewed scrutiny over consumer access and affordability (Modern Healthcare). At the same time, insurers and the AMA are backing a provider directory data standard—an operational fix with direct VBC implications for network adequacy, referral integrity, risk adjustment, and patient attribution accuracy ([Becker’s Payer Issues](https://news.google.com/rss/articles/CBMiqAFBVV95cUxPc3VKNFY4R3JwMmtscndDblZJWXg0UkI5
Related Articles
Insurers, AMA join forces on provider directory data standard
Insurers, AMA join forces on provider directory data standard  Becker's Payer Issues
IRS moves to tighten ACA subsidy access
IRS moves to tighten ACA subsidy access  Modern Healthcare
How the Patient Financial Experience Breaks Down Before Care Even Begins
How the Patient Financial Experience Breaks Down Before Care Even Begins  HealthLeaders Media
Cone Health ending hospital-at-home program
Cone Health ending hospital-at-home program  Becker's Hospital Review
Zocdoc acquires insurance tech company Sohar Health
Zocdoc acquires insurance tech company Sohar Health  Modern Healthcare