Payer Systems

HealthPlus Staffing Launches National Franchise System
Management & Administration HealthPlus Staffing Launches National Franchise System

In the high-stakes world of healthcare, the persistent challenge of staffing shortages places immense pressure on medical facilities and recruitment firms alike, creating a critical need for innovative solutions that can efficiently connect qualified providers with the communities that need them

Compliance and Outcomes Reshape Payer IT for 2026
Management & Administration Compliance and Outcomes Reshape Payer IT for 2026

The healthcare payer information technology sector is rapidly approaching a defining moment, with 2026 poised to be a pivotal execution year that will fundamentally reshape investment priorities, technological roadmaps, and the entire vendor acquisition landscape. A powerful convergence of

Fixing Prior Authorization Starts With Providers
Management & Administration Fixing Prior Authorization Starts With Providers

The persistent friction of prior authorization has long been a source of frustration within the American healthcare system, often creating significant delays in patient care and burying clinicians under a mountain of administrative tasks. While the prevailing narrative has frequently positioned

How Can Systems of Excellence Transform Population Health?
Management & Administration How Can Systems of Excellence Transform Population Health?

The American healthcare landscape is currently grappling with an unsustainable paradox, where remarkable medical advancements coexist with a failing system for managing the very chronic diseases that affect the majority of the population. This "sick-care" model, which prioritizes reactive

Why Are Americans So Divided on Health Care?
Management & Administration Why Are Americans So Divided on Health Care?

A comprehensive analysis of the American public's views on health care reveals a profound national paradox: while a solid majority agrees that the federal government has a fundamental duty to ensure coverage for all citizens, this consensus shatters when it comes to the method of delivery. This

How Will SUD Treatment Prove Its Value in 2026?
Management & Administration How Will SUD Treatment Prove Its Value in 2026?

The year 2026 is poised to be a watershed moment for the substance use disorder (SUD) treatment industry, compelling providers to fundamentally redefine their value proposition amid unprecedented market and policy pressures. Following a tumultuous 2025 characterized by investor hesitation,

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