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Directories
Plan shall provide an annual Provider Directory and an annual client-Payer directory, with at least quarterly updates thereto. Plan shall offer Provider the right of advance review for accuracy prior to publication of any updates to the director. Provider shall respond to the request within three business days.
 
Remember to inquire about transparency of star rating systems and the right to question and refuse how they market you if detrimental, as well as sue process prior to publication.

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5 practical & achievable ways hospitals can help employers reign in healthcare costs
 
These days employers are frustrated about healthcare expenditures and what to do about them. Costs continue to escalate, value and quality are measured by the new "yardstick du jour" creating mountains of new data that is often not actionable, employee engagement in money saving behaviors is challenging at best, and there's no way to transfer more of the cost to the employee ledger without serious benefit satisfaction backlash.
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With more than 30 years of experience in health care and hospital operations, marketing, and revenue cycle management, Maria Todd wrote the leading industry books on managed care contract analysis and negotiation  written for the medical group and hospital executive audience.   Find this book and others authored by Maria on Amazon.com

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