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HEOPS-7 Proven Strategies for Saving on Network development ProjectsSTOP the LEAK:7 Proven Ways to Save Big $$$ on Provider Networks

The next 5 minutes could save you $10K or more in savings.

This article compiles Lessons Learned from over 500 HEOPS network development projects across a variety of payors and network types.

Interested? Read on…



4 Ways to Protect HCBS providers during the Transition to Managed Care

As an industry are we placing Home and Community Based Services (HCBS) providers at risk during the transition to Managed Long Term Services and Supports under an MCO?

You bet we are.

Read on…



HEOPS Medicare Advantage Star StrategiesMEDICARE ADVANTAGE STARS: How Do You Move the Stars Ratings?

How hard is it to achieve a Medicare Advantage 5 Star Rating? It’s no piece of cake, and many organizations are struggling not to be removed from the program for low scores.  In 2014 there were no Medicare Advantage plans that increased their star ratings greater than 1 star. Is it possible you bet, but you need a new approach. Read on for 5 Critical Success Factors to power your process.


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3 Reasons Why We’re Failing Caregivers In the Workplace and What We Can Do Different

Family caregiving statistics are mind-boggling. More than 67 million Americans are caregivers and they’re providing over $450 billion a year in free care and services for a loved one with no formal training.

The workplace is failing employee caregivers and new solutions are needed. Read on…


3 Key Tips for ERROR FREE ACO Uploads:
If you are a new ACO, the ACO Managed File Transfer Process with CMS can feel like a puzzle that’s made of sky pieces only.

Hmmm…more like a puzzle, in which the kids have misplaced a few pieces.

Below are three key tips that we use to better manage the process and ensure an error free file upload the first time.
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2 Thoughts on Narrow Networks: Helpful or Hurtful?
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 Obamacare of the ACA.

Seriously? Read on… we explore if narrow networks are works of art or an evil curse.

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Good is the enemy of great. — Jim Collins, “Good to Great”

Latest News:

“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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PO Box 2403
Brentwood, TN 37024

Phone: 1.615.376.4677 or 1.866.887.3677
Fax: 1.615.376.7771