The Power of Probing: Why You Should Question DRG-Based Claims
It’s not uncommon for facilities or PPO networks to assert that a claim is DRG-based to deter payors from pursuing…
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Choosing the Right Partners: Administrators’ Quest for Vendors Committed to Ethical Administration in Non-Network Claims
The concept of ethical administration has rapidly become a hot topic – so much so that it is the theme…
Expion Health Announces Strategic Partnership with HUB International
Expion Health is pleased to announce our strategic partnership with HUB International, which was launched at HUB’s Clinical and Pharmacy…
Navigating Shifting Market Expectations: Enhancing OON Claim Repricing Fairness and Transparency
In the changing landscape out-of-network (OON) medical claims, health plans & TPAs face the dual challenge of managing costs while…
NSA No-Response IDR Determinations a Surprising Waste of Plan Dollars
Expion Health’s analysis of the latest CMS report from February 2024, which sheds light on the Independent Dispute Resolution (IDR)…
Expion Health Wins Prestigious CIO 100 Award
Expion Health, a pioneer in leveraging powerful technology and dynamic pricing strategies for healthcare cost containment, has been named to…
Harnessing Transparency and Control: Key Takeaways from the HCAA Executive Forum from Expion Health
A central theme emerged, at the HCAA Executive Forum: the imperative for TPAs to evolve as a fiduciary-like partner for…
Get Ready: CMS Proposes Numerous Changes to IDR Process
The Federal government recently proposed changes to the NSA IDR process in hopes of holding all involved organizations more accountable…
Expion Health and Mark Cuban Cost Plus Drug Company, PBC Forge Innovative Collaboration to Enhance Pharmacy Cost Management
Today, Expion Health, a pioneer in leveraging powerful technology and dynamic pricing strategies, unveiled its new collaboration with Mark Cuban…
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