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Zelis Unveils New In-Network Pricing Solution for Streamlined Claim Processing

HIT Consultant

What You Should Know: Zelis , a leader in healthcare technology solutions, has announced its newest weapon in the fight against opaque claim pricing: In-Network Pricing and Contract Modeling. Extensive Program Support: Handles commercial, Medicaid, Medicare, Tricare, and more.

Tricare 52
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Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Vie Healthcare

Episode Introduction Jonathan explains why the value of healthcare related cases under the False Claims Act ($1.8 He also urges hospitals to focus on mission over money and explains why compliance isn’t the enemy of healthcare. It’s any type of fraud scheme that is impacting the healthcare system.

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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. . “Their model is to deliver short-term financial goals and in order to do that you have to cut corners,” said Mary Inman, an attorney who represents whistleblowers.

Doctors 145
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. . “Their model is to deliver short-term financial goals and in order to do that you have to cut corners,” said Mary Inman, an attorney who represents whistleblowers.

Doctors 52