BLOGS

Explore insights on how health plans can enhance their operations and gain a competitive edge with innovative technology.

Smarter Quality Assurance for Healthcare Payers – Reduce Errors, Improve Compliance, and Save Time

Simplify Healthcare’s Side-by-Side Comparison streamlines QA for payers—cutting errors, boosting compliance, and accelerating reviews across Medicare, ACA, and Group health documents.

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Unlocking Sales Success in the Commercial Group Market: Simplify Healthcare’s Solution for Payers

Simplify Healthcare’s AI-powered platform transforms sales in the Commercial Group market by automating quoting, streamlining document generation, and ensuring seamless integration—helping Payers accelerate deal closures and drive growth.

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The Future of Provider Credentialing

Discover how AI, automation, and emerging technologies revolutionize provider credentialing, enhancing efficiency, compliance, and provider satisfaction.

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Evolution of Provider Credentialing with Technology and Why Does It Matter?

Find out about the future of Provider Credentialing and how AI, automation, and new cutting-edge technologies are transforming legacy credentialing workflows.

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Simplifying the Provider Credentialing Process

Streamline provider credentialing with Provider1™.Credentialing by Simplify Healthcare, featuring automated verification, AI-driven accuracy, and seamless compliance.

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Achieve DSNP Readiness with Simplify Healthcare’s Benefits1™ Platform

Simplify DSNP readiness with Benefits1™: streamline Medicare & Medicaid, automate compliance, enhance customization, and gain insights for CalAIM success.

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CalAIM: Empowering Health Plans with DSNP Readiness

Prepare for DSNP readiness with Simplify Healthcare’s Benefits1™: streamline Medicare & Medicaid, automate filings, ensure compliance, and improve care for dual-eligible members.

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Optimizing Healthcare: How AI is Transforming Payer Operations

Explore the limitations, risks, and adoption strategy for Payers to consider while exploring Gen AI to optimize workflows, personalize engagement, and minimize costs.

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Navigate the Complexity of 2024 CMS PBP Filing and Accelerate Medicare Advantage Business Growth

While the new CMS PBP software is a step forward in the right direction, more pieces need to come together for Payers to improve operational efficiencies and cost-effectiveness and sustain future business growth.

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What is Causing High CSR Attrition in Healthcare Payer Contact Centers?

High attrition rate in call centers is a longstanding problem. Read this blog to learn how Health Plans can leverage technology to improve call center KPIs, reduce attrition, and deliver member and provider delight.

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Get Fast, Accurate, Data-Driven Insights into Thousands of MA Healthcare Payers

Medicare Advantage (MA) is a fast-growing and highly competitive space. Insights into competitors’ Medicare Advantage plans can help Payers make informed decisions that are better aligned with their business goals.

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Eliminate the Complexity of CMS Updates and Accelerate Speed to Market of MA Plans in 2023

Health Payers in the Medicare Advantage market can start building their benefit plans 6 weeks before the final CMS PBP software release. Read our article to know how you can gain early to market advantage.

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How Can Healthcare Payers Overcome CMS PBP Bid Submission Challenges?

The manual process of making PBP bid submissions to the CMS can be time-consuming and error-prone. Discover how Payers can optimize the process.

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Managing the ACA in Plan year 2021/2022 with Benefits1™.ACA

Despite repeated efforts to overturn or curtail it, the Affordable Care Act (ACA) remains in full force in 2021. Discover how healthcare payers can improve compliance with the ACA for Individual and Small group benefit plans with Benefits1.ACA™.

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The Provider Directory and Data Management Problem and Its Impact on Health Plans

Get in-depth knowledge of provider data management challenges faced by health plans and how they can comply with the CMS and the No Surprises Act.

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A Single Source of Truth for Medicare plan management: Why It Matters

Explore how using a single source of truth Medicare Advantage plan management can automate data management processes, eliminate inconsistencies, update CMS changes, generate ANOC/EOC documents faster, and improve speed-to-market.

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Lessons learned from virtual onboarding of over 100 employees during the global pandemic

It is no news that COVID-19 has completely disrupted the work-life across geographies and industries. To deal with this unique challenge, businesses are compelled to deploy new strategies [...]

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