HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsStop wasting money on RCM issues. Learn how to Provide your team with expert-led revenue cycle training to help them reduce denied claims, reimbursement mistakes, and more.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsOnline clinical placement software allows schools, healthcare organizations, and students to seamlessly manage clinical and nursing rotations.
View All ProductsTackle all the challenges of provider directory management within a health plan with a single solution tailored to your specific needs.
View All ProductsOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
View All ProductsHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreHealth insurance in America is constantly changing; where it’s being sold, how much it costs, who’s participating in it, what’s covered and so much more! For those Medical Services Professionals (MSPs) tasked with managing a health insurance plan, there’s a lot to keep track of, but thankfully, they don’t have to go at it alone. Read on to learn about the top three challenges for today’s health plans and how Network can help tackle them.
Typical provider management systems are designed for healthcare systems and medical groups – not health plans. Keeping provider data information up-to-date is a herculean task, and is one that can lead to headaches and a poor experience for your patients and providers if not done properly. If a health plan is working with a solution that was not explicitly designed for their business, there will be setbacks, which can prove costly.
Network was designed specifically for Health Plans. It features a data structure that is completely different from typical provider data management systems. It is built to support the data structure health plans are required to contend with. Reporting within this data structure provides a reliable backbone for operations management.
Fostering data alignment is a critical component of a health plan’s operation, which includes not only credentialing but the ability to manage contracted group and/or provider data submission of rosters, enrollment applications from your contracted entities, and changes/terminations related to providers and their facilities. Network also has the capability to meet federal, regulatory, and state requirements your health plan must abide by.
Resource management includes the planning, scheduling, and allocating of people, money, and technology to a project or program. And like in most other industries, finding, training, and retaining staff is challenging, especially in a specialized field like MSPs. If an MSP is working with multiple manual processes or a software solution that isn’t providing any automation or assistance, it becomes very difficult to keep employees engaged and committed to doing their best work. To avoid losing valuable team members, processes should be put in place to support their work and make their day-to-day tasks as efficient as possible.
One of the core pillars of Network is the various workflows available. Each functions as more of an automation tool vs. a checklist of to-do tasks. There are workflows designed to support:
These workflows have automation and best practices embedded within, which reduces the amount of manual work an MSP has to do to complete a task. These workflows feature information from our continuously updated content libraries.
One of the most recent industry regulation changes that payers must work around is the No Surprises Act. The Act states, that if you’re a health plan, have internal health plans, or contribute provider information to a health plan, there are four compliance tasks you must adhere to:
That’s a lot to keep track of and doing so can get expensive. Data from a survey released by CAQH shows that physician practices spend an estimated $2.76 billion a year updating provider directory information for health plans. Considering that most standard physician practices need to submit information for around 20 health plan contracts, it’s clear to see why help is required in order to ensure these health systems can keep up!
Network provides access to a variety of workflows focused on directory update support to assist health plans in keeping up with the industry regulations brought on by the No Surprises Act. The content was built to fully support that process so that nothing falls through the cracks. For example, the Network content library has an email that gets automatically sent to providers prompting them to confirm or update their directory information, so that MSPs can then process the proper information within the required time period.
Network was created with the top three challenges for today’s health plans in mind. In the past, the available solutions focused heavily on what healthcare systems and medical groups need, not health plan demands. Network supports the health plan’s success in managing accessibility, quality, and provider networks. Whether an MSP is focused on provider relations, credentialing, or data management, Network can help. For additional insights, watch our webinar: Tackle Top Health Plan Challenges with Network today, or reach out with any questions!
HealthStream’s learning management system and healthcare training solutions support medical training initiatives and allow for the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsOnline clinical placement software allows schools, healthcare organizations, and students to seamlessly manage clinical and nursing rotations.
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validates health outcomes and supports provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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