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The healthcare industry has long recognized the inefficiencies of prior authorization (PA) processes, which have historically been plagued by delays, administrative burdens, and provider frustration. However, as we look ahead to 2027, mandated interoperability advancements offer a promising solution. The question is: will providers adopt it immediately? And what can payers do now to ensure a seamless transition?
Hosted by the Association for Community Affiliated Plans (ACAP), the webinar, “Preparing for the 2025 Administration Shift: Proactive Cost Avoidance and MLR Strategies for Your Medicare Advantage Business,” will explore how upcoming policy changes could drive Medicare Advantage growth, including increased reimbursement rates and expanded support for Dual Eligible Special Needs Plans (D-SNPs).
This month, we speak to Jesus Mendoza, Insight and Sales Operations Manager about upgrading systems, learning from partners, and his variety of experiences with HealthAxis.
This month, we are connecting with Andy Parker, Director of Administration Services about his department projects, team, and client relations.