Knowledge Base

What Payers Need to Know About: The Future of HIPAA Administrative Simplification: Will it Stay or Will It Go?

Zelis Reference Based Pricing

Plan sponsors face tough choices when trying to balance plan savings, member satisfaction and provider abrasion. 

2017 Provider Directory Laws: State Legislation Wrap-Up and Map

Zelis Legislative Watch: Hawaiian Bill Becomes Latest Network Access and Adequacy Law

The governor of Hawaii had until last week to say what bills passed by the state legislature he intended to veto. Hawaii Senate Bill 387 was not on the governor’s veto list; as such, Hawaii has become one of a growing number of states with expansive provider network access and adequacy laws, which all include provisions regarding accurate provider directories.

5 Things Payers Need to Know: Senate’s Better Care Reconciliation Act (BCRA)

Yesterday, the Senate GOP released the Better Care Reconciliation Act (BCRA), a response to the House’s American Health Care Act (AHCA) passed in early May. These bills are part of the new administration’s effort to repeal and replace the Affordable Care Act (ACA).