TOG Network Solutions

Does a doctor's background during virtual visits matter? It turns out it might matter more than you may think. New research from JAMA reveals that patients have strong preferences when it comes to their doctor's surroundings during telehealth visits. These details could even impact how they perceive their doctor's professionalism and care. Read our latest blog post to discover the types of backgrounds patients prefer (and dislike!) during virtual visits, how a doctor's background can impact patient perception, and what health plans can do to enhance the telehealth experience. https://bit.ly/3zfTIqI #telehealth #patientexperience #healthcareproviders

Advances in cancer treatment are a cause for celebration, but they also bring new challenges to health care provider networks. The rising number of cancer survivors and an aging oncology workforce are straining the health care system, particularly in rural areas. Our latest blog post explores the key factors driving the oncologist shortage and delivers proactive strategies to address the gap and prepare your provider network to maintain adequacy standards. Learn more about this critical issue and how we can work together to ensure access to quality cancer care for all. https://lnkd.in/gkPdWbYA #healthcare #ruralhealth #cancer

The Medicare Advantage landscape is shifting. Recent data shows spending is up, enrollment is rising, and demographics are changing. Payers must be ready to adapt to protect their bottom line while best serving their members. We’ve identified five key actions payers must take to adapt and flourish in these changing times. Learn more: https://bit.ly/3AiOs5S #Medicareadvantage #Healthinsurance #Healthcare

Healthcare is constantly evolving, and technology is a major catalyst for change. But what are the biggest digital challenges facing health plans today? And how can they be overcome? A recent McKinsey & Company survey sheds light on these questions, revealing the top concerns of public health leaders when it comes to implementing new technology. Check out our latest blog post to discover: -The most common digital challenges facing health plans -Actionable steps health plans can take to avoid these challenges -Expert insights on how to successfully navigate digital transformation https://bit.ly/3WRj0Eu #healthcare #healthinsurance #healthtech #innovation #healthplans

Nearly 70% of Medicaid disenrollments are due to missed deadlines and paperwork issues, not ineligibility. Health plans have a unique opportunity to improve member retention during this critical time. Explore practical strategies to keep your members covered. Read more: https://bit.ly/3WacS8H #Medicaid #MemberRetention #Healthcare

Member satisfaction is essential for the success of your health plan. Learn how payers as a whole fared in this year’s J.D. Power Survey and discover what steps you can take to optimize member satisfaction moving forward. Read more at: https://bit.ly/3RZhjlt #Healthcare #Healthinsurance #Healthnews

The connection between falls, opioid use, and older adults might not be obvious, but it's a critical issue with huge implications for our health care system. Our latest blog post explores the potential impact of the SAFE Act, a new bill aiming to reduce falls in older adults through fall risk assessments. It could be a game-changer, not only for reducing falls but also for curbing opioid usage in this vulnerable population. If you're interested in health care policy, Medicare delivery, or the opioid crisis, this is a must-read. Check it out here: https://bit.ly/3XH9btI Let's discuss! How do you think this legislation could impact your provider network and the health care landscape? #HealthInsurance #SeniorHealth #OpioidCrisis #HealthCare

Wondering how CMS' two-midnight rule will impact your Medicare Advantage health plan? Get ahead of the curve. 1. Recruit nurses, therapists, and other health care clinicians to assist with medical necessity evaluations and help manage costs. 2. Make provisions to bids to avoid appeals due to unclear verbiage. 3. Encourage the use of electronic medical records to identify and mitigate patient risk factors for hospital readmission. 4. Bolster any existing protocols for medication reconciliation to assist with preventing unnecessary hospital admissions. Learn more at: https://bit.ly/45kmJ09 #Healthcare #Medicare #HealthInsurance

Big changes are coming to Medicare Advantage in 2025! The new CMS rule goes beyond prior authorization, impacting everything from health equity to provider networks. In our latest blog post, we break down the key changes and offer actionable steps health plans can take NOW to prepare. Don't get caught off guard. Learn what you need to do today to stay ahead of the curve and ensure your plan thrives in 2025 and beyond. https://bit.ly/3QOWKrD #medicareadvantage #healthinsurance #healthcare #healthequity

New data from AHIP reveals a significant spike in Medicare Advantage (MA) service utilization in 2023, with a notable surge in outpatient surgeries, physician visits, and end-of-year prescription drug spending. While this increased utilization may benefit members, it also poses challenges for MA plans facing decreasing benchmark payments and projected growth in Medicare spending. Learn what your health plan needs to do today to adapt and prepare for the future: https://bit.ly/4anHZTm. #healthcare #medicare #healthinsurance