PBMs and health plans: streamlined benefit administration, fewer pharmacy callbacks and prior authorization interruptions and improved member experience. Employers and plan sponsors: more affordable ...
PROVIDERS ARE painfully aware that they pay billions of dollars to support the claims adjudication process. Payers pretty much know the same thing. Well, then, this should be easy. Someone push that ...
The MarketWatch News Department was not involved in the creation of this content. As healthcare costs rise and member expectations grow, insurers continue to struggle with outdated and fragmented ...
The report highlighted that insurers are embedding sustainability into claims handling, product development, and operational ...
The Seventh Amendment right to a jury trial puts significant limits on administrative adjudications, but defendants may waive that right ...
LAS VEGAS, NV / ACCESS Newswire / June 16, 2025 / According to Black Book's Q2 2025 survey of 571 health plan executives, 91% reported plans to increase or maintain outsourcing partnerships for claims ...
MCLEAN, Va., Oct. 03, 2023 (GLOBE NEWSWIRE) -- The U.S. Department of Veterans Affairs (VA) has awarded Acentra Health (formerly CNSI) a three-year, $52.3 million contract to support claims ...
NORFOLK, Va. — About 70,000 Virginians are waiting to see if they’ll receive unemployment benefits, and some have waited up to five months for their claim to be reviewed by Virginia Employment ...
Oregon’s employment department is understating how many unemployment claims are stuck in adjudication, according to a new filing in a class-action lawsuit against the department. The lawsuit in ...
Singapore’s Court of Appeal recently ruled that claims and set-offs from other contracts between the two parties in an adjudication are not consistent with the purpose of the Building and Construction ...
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