Category: Scientific Cowboys

2 Thoughts on Narrow Networks – Hurtful or Helpful?

2 Thoughts on Narrow Networks – Helpful or Hurtful? by Nancy C Everitt, PMP The concept of narrow networks is not new. There is a great deal of hoopla in the media that narrow networks are driven solely by the ACA “Obamacare”. Seriously? In this article we explore if narrow networks are works of art [...]

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HEOPS presents insights on Dual Eligibles at 2013 Medicaid Managed Care Conference

(October 4, 2013 – Washington DC) Going Slow to Go Fast: Lessons Learned from Dual Eligible Integration. HEOPS CEO, Nancy C Everitt, MBA, PMP presented key findings on Dual Eligible Lessons Learned via insights from the Truven Analytics Report May 2013 on LTSS Providers, the NAMD: Working Series Recommendations to Congress September 2013 and market [...]

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Innovations in Network Contracting 3.14.2014

Assuring Transparency, Implementing Viable P4P Strategies, and Creating Successful Partnerships Published 3.12.2012 Scientific Cowboys Overview: On February 27, 2012 and February 28, 2012 at the Network Contracting Congress in Las Vegas Nevada leaders and innovators gathered to share their insights and offer tested solutions on how to streamline the network contracting process. Conference highlights included [...]

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Insights from a Data Guru; John Weis of Quest Analytics on Network Adequacy Best Practices for State Health Programs

Excerpts from a White Paper by John Weis, CEO Quest Analytics Published with permission 10.1.2012 Scientific Cowboys Overview: Medicaid provider network adequacy is unique state by state just like Medicaid and other state based health programs. Each state’s unique approach can create both benefits and challenges. For those of us in the industry that work [...]

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The Devil We Know: The Use of Demonization in Negotiations

By Nancy C Everitt, MBA Published 10.1.2012 Scientific Cowboys Overview: Demonization is not an often discussed phenomenon in negotiations, it sneaks in under bias and is often isn’t recognized and/or addressed. The ability to recognize both when you are being demonized and when you are demonizing others enhances your level of prowess as a negotiator. [...]

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I believe that if you show people the problems and you show them the solutions they will be moved to act. — Bill Gates

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“Cowboys vs. Scientists”: HEOPS Sponsors Innovative Network Contracting Congress in Las Vegas February 25, 2010 (Las Vegas, NV) Approximately 100 delegates from many of the nation’s top health plans and key provider organizations met in Las Vegas for the inaugural 2010 Network Contracting Congress on February 25, 2010. This premier network contracting event was organized by Global Media Dynamics and sponsored by HEOPS.

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