Welcome to ClaimTalk, the official ClaimDOC podcast, where we dive deep into the complex world of unbundled health plans. Together with industry experts, we'll pull back the curtain on a wide variety of cost containment topics. We'll provide listeners with a lot of information with a few shenanigans along the way.
Publishes | Monthly | Episodes | 20 | Founded | a year ago |
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Number of Listeners | Category | Business |
If your organization sponsors a self-funded health plan and cybersecurity isn’t part of your vendor evaluation criteria, it’s time to reassess. Protecting your own infrastructure is essential, but it’s not enough. Every vendor with access to your dat... more
Paying cash for healthcare services is not a new concept, but it's also an option that is not widely used. The reason for that is because many providers prefer to accept reimbursement from insurance. But cash pay does have its advantages.
On this ep... more
For nontraditional health plans to work — whether they use reference-based pricing or another strategy — they often require customized solutions. As health plans evolve, vendors can't ignore new methods to give plan members what they need.
In this e... more
Whether you're using a reference-based pricing strategy or some other alternative, there are many challenges in creating an effective direct contract. Much of the time, they boil down to the complexities of healthcare pricing in one way or another. W... more
Healthcare access can be the biggest hurdle to successfully implementing a reference-based pricing plan. Sometimes it requires creating an agreement called a direct contract between a health plan and a provider to ensure access to that provider. Dire... more
Claim denials are a complex piece of the healthcare system, and they can cause frustration for patients and providers alike. There are many reasons claims can be denied, whether it's due to technical errors, subrogation or if it's deemed not medicall... more
A strong balance bill defense is essential to a successful reference-based pricing health plan. But what does that look like? And how do you know what you're being offered isn't just lip service? The answer is fiduciary responsibility.
ClaimDOC Bala... more
In the second half of a two-part episode on PBMs, experts Marc A. Sweeney, Trevor Daer and Mike Kroupa return to discuss some of the intricacies of the pharmaceutical industry. They tackle complex topics like international drug sourcing, specialty dr... more
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These podcasts share a similar audience with ClaimTalk:
1. The Business of Benefits Podcast
2. Self-Funded With Spencer
3. The Phia Group's Podcast
4. Relentless Health Value
5. Freakonomics Radio
ClaimTalk launched a year ago and published 20 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.
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