The latest in population health management.
Appeals and Grievances
Impact of the New CMS Healthcare Interoperability Rule | ZeOmega
Much of the direction of the 2020 proposed rule is in the new proposed rule, particularly the sharing of prior authorization decisions/status with patients.
Key Takeaways from 2024 Medicare Advantage Proposed Rule | ZeOmega
The Centers for Medicare and Medicaid (CMS) released the 2024 Medicare Advantage Proposed Rule on December 14, 2022 and the 957 page document is scheduled to enter the federal register on December 27th, 2022.
Reducing Burden in Healthcare Prior Authorizations
To reduce the burden of the prior authorization, many providers and payers have come together to develop solutions. Learn more.
Healthcare Enterprise Management Platform for High-Touch Member Engagement
Contact rates for case managers were better than 50%, yet actual enrollment in our programs was less than 10%.
AI and Its Value in Enhancing Member Engagement
Member engagement has been a crucial component within the healthcare industry, and it is growing in importance.