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Coordination Between Medicaid Health Plans and Marketplace QHPs

Our latest white paper explores strategies to improve coordination of the shifting between Medicaid and the Qualified Health Plan.

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Pulse Weekly
My Take: Health Information Technology – we're not going back!

The fact remains that the federal policy in the U.S. health system is to connect the system using modern clinical and administrative information systems.

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Healthcare Practice Strengthens Leadership Team

Four senior strategic hires – Jonathan Baker, Michael D’Eramo, Patrick Maher and Amol Navathe – contribute to the Firm’s growing Healthcare practice.

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Navigant Healthcare Featured in MGMA Connection

Simita Mishra highlights the Risk Adjustment Factor (RAF) and how, if used appropriately, it could result in better patient care and higher reimbursement for practice professionals who negotiate with payers.

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Healthcare Perspectives

Coordination Between Medicaid Health Plans and Marketplace QHPs

The Medicaid – Marketplace churn, shifting between Medicaid and the Qualified Health Plan, creates confusion and coverage issues for individuals needing to transition between programs.

 White Paper
Paul Keckley Joins Navigant Healthcare As Managing Director

Industry Thought Leader, Paul Keckley, joins Navigant Healthcare and will lead Navigant Center for Healthcare Research and Policy Analysis.

 News
Numbers Show Young People Hesitant to Sign Up for Healthcare

According to CNN article, signing up for healthcare insurance is not an urgent need for Millenials.

 Article
First MLR Audits Are Positive News for Health Insurers, but Risks Remain

Navigant’s Melissa Hulke discusses recent audit activity of medical loss ratio reporting, a provision of the Affordable Care Act.

 Article
Navigant Healthcare Strengthens Leadership Team

Navigant announces the addition of four senior strategic hires – Jonathan Baker, Michael D’Eramo, Patrick Maher and Amol Navathe – to the Firm’s growing Healthcare practice.

 News
Health Care CIOs Pay for Trying to Meet Medical Code Deadline

Dr. Terrance Govender is quoted by the Wall Street Journal on the recent ICD-10 implementation deadline delay.

 Article
Provider Sponsored Plans Establish Marketplace Presence

Converging market forces indicate potential opportunity for provider sponsored health plans (PSPs), which demonstrate a notable presence on 2014 exchanges / marketplaces across the country.

 White Paper
Assessing the Next Generation Revenue Cycle Management Readiness

John Boland comments on the next generation of revenue cycle management readiness in Healthcare Finance News.

 Article

Subscribe to Pulse Healthcare Magazine

Provides insights and guidance for health systems, physician practice groups and payers as they seek to design, develop, and implement integrated solutions that create high-performing healthcare organizations.

Healthcare Publications

Navigant Healthcare Pulse 2013, Issue III

In this issue of Pulse, authors provide an analysis on healthcare consolidation and the implications for strategic responses.

Experts

David P. Zito

Dave Zito is a Managing Director and leader of the Healthcare practice. He works with integrated healthcare systems, teaching institutions, and medical centers.

David Burik

David Burik is a Managing Director in the Healthcare practice, and has 30+ years experience within all segments of the health care industry, focusing on the strategy segment.

Alex Hunter

Alex Hunter is a Managing Director in the Healthcare practice. He specializes in design, development, and implementation of physician/hospital alignment at the strategic, financial, and operational level.

Michael Nugent

Michael Nugent is a Managing Director in the Healthcare practice and leader of Navigant's Managed Care Pricing team. He is an expert in pricing, managed care contracting strategy, and revenue cycle innovations.

Healthcare News

Navigant Healthcare Strengthens Leadership Team

Navigant announces the addition of four senior strategic hires – Jonathan Baker, Michael D’Eramo, Patrick Maher and Amol Navathe – to the Firm’s growing Healthcare practice.

Paul Keckley Joins Navigant Healthcare As Managing Director

Industry Thought Leader, Paul Keckley, joins Navigant Healthcare and will lead Navigant Center for Healthcare Research and Policy Analysis.

Michael Hill, M.D., Founder of EMPATH, Brings Technology-Enabled Solutions to Navigant (Press Release)

Navigant announced that Michael Hill, M.D., founder of EMPATH, and his team of seven professionals have joined the firm’s Healthcare practice.

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