(2 of 4) (In this second installment of our four-part series on Provider Experiences, we focus on simplifying the revalidation process.)   Revalidation is a necessary but often burdensome process for providers. The Centers for Medicare and Medicaid Services (CMS) and states mandate that providers revalidate their enrollment every three…

(1 of 4) (In this first installment of our four-part series on Provider Experiences, we explore the crucial strategy of getting enrollment right from the start.) Provider enrollment is often time-consuming and complex. Our analysis shows providers typically have several clicks or pages to navigate before reaching the enrollment application.…

A platform-based approach using data and analytics to drive measurable impact  People lose their Medicaid coverage when they are incarcerated. They have to reapply after release just as they are working to successfully transition back to community life. This population faces challenges such as housing instability, establishing employment, and management…

A unified approach to coordinated care is essential for improving health outcomes for populations and driving value for state and commercial healthcare sectors. When it comes to operationalizing state-specific programs, however, there are a number of factors for leaders to consider in building an effective and sustainable infrastructure for their…

Join us at the 2025 National Other Party Liability Group Conference (NOPLG), in the beautiful city of Savannah, Georgia. This premier event is designed for Blue Cross & Blue Shield plans nationwide to explore the latest innovations and challenges in Coordination of Benefits (COB), Subrogation, Worker’s Compensation (WC), Medicare Secondary Payer (MSP), Other Party Liability (OPL) management, and Overpayment Identification & Recovery.

We are excited to announce our participation as a Bronze Sponsor and look forward to the opportunity to network and engage with key industry leaders in this historic coastal setting.