New episode of Soaring to New Health!. In the first part of our Medicaid Momentum series, Brendan Harris, President of UPMC for You, shares insights on Medicaid’s evolution over 60 years, from care models to telehealth innovations. Listen now:

"Tip: Streamlining Operations Improves Healthcare Quality. We optimize scheduling to reduce wait times, streamline billing for better collections and cut admin redundancies. Result? More time for care, happier patients, healthier bottom lines.

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New Podcast! Equity at Life's Edges Ep. 2 is live!. Dr. Joe Sanfilippo & Arnie Burchianti discuss the future of IVF and home care and how tech is transforming healthcare for marginalized populations. Listen now:

Tip: Data-Driven Decisions = Better Outcomes! First in our Healthcare Tips & Myths Series: Data is insight, not just numbers. It helps us: Track outcomes Analyze performance Optimize workflows.Discover how ProspHire's practice leaders use data to drive better healthcare.

New Soaring to New Health Podcast Alert! Equity at Life's Edges - IVF and Home & Community-Based Care. We're discussing breakthroughs in IVF with Dr. Joe Sanfilippo and the evolution of home care with Arnie Burchianti. Listen now:

CMS is enhancing oversight with new reporting requirements for Medicare Advantage plans. These changes aim to strengthen utilization management and combat barriers to care access. Learn how these updates could impact your organization & how we can help:

A new episode of Soaring to New Health is live!  Chris Miladinovich and Dan Crogan talk with Jim Burgess & Julie Evans about how AI, policy changes and innovative care models are shaping the future of Medicaid operations:

The Silent Killer in Healthcare 💸 It’s administrative inefficiency, costing the industry over $265 billion every year. ProspHire helps health plans and providers reclaim resources, reduce costs & refocus on what matters: delivering quality care:

Soaring to New Health podcast kicks off our Medicaid Matters series with insights on innovation and technology in Medicaid operations. Jim Burgess & Julie Evans discuss value-based care, predictive analytics and enhanced care coordination. Learn more:

There’s a Silent Killer lurking in healthcare. It’s not a virus. It’s not a disease. But it’s draining billions from the system—every single year. What is it?. Stay tuned.

Join ProspHire's Andrew Bell for an action-packed 15-Minute Monday Advantage webinar with Nymbl Science! In just 15 minutes, get the latest on Stars, savings and those curveballs from CMS. 📅 Register for Monday, May 12 at 1pm EST.🔗 Register Here:

Dive into CMS's latest proposals for the 2026 Quality Rating System and QHP Enrollee Experience Survey! Learn about measure removals impacting patient safety, new measures enhancing consumer satisfaction and transitions aimed at improving health equity:

Meet the Managing Directors Behind ProspHire’s Impact! We’re excited to spotlight three of ProspHire’s powerhouse leaders: Andrew Bell, Jaspreet Laungia and Luke Laurin—each driving meaningful change across the healthcare industry. Connect with them today:

Learn everything about Soaring to New Health's Mini Series: Healthcare Uncovered! This mini series included 4 episodes covering: Cloud-Based Dental Software, Medicare Advantage Stars Performance, Medicaid Strategy & ACA Marketplace & Risk Adjustment:

CMS’s 2026 Final Rule brings a 5.06% payment increase & with stricter rules, clearer guardrails and a stronger push for outcomes-driven care are redefining how plans must operate. At ProspHire, We help health plans assess capabilities & drive results:

Medicaid in Nevada: Are You Ready to Outperform? .Your contract win is an opportunity to deliver better care, optimize costs and improve quality ratings. ProspHire’s expertise helps health plans drive sustainable results in new & existing markets:

We believe protecting children is everyone’s responsibility. Through our support of the Children’s Hospital of Pittsburgh’s Child Advocacy Center and its Patient Family Support Fund, we help ensure that abused children receive the help they need:

Now Live: Real-Time SDOH Insights! We know that data-driven decisions drive health equity. That’s why we’re excited to introduce our latest tool—harnessing PowerBI to deliver real-time Social Determinants of Health Connect with us:

How will upcoming policy changes impact ACA affordability and access? Join ProspHire's ACA Practice Leader Caitlin Nicklow, MBA as she unpacks the challenges ahead and how health plans can stay agile:

Has your health plan been awarded - or are you expecting to be awarded - a Medicaid contract in Nevada? Winning the contract is just the beginning. Now comes execution—network expansion or enhancement, compliance, cost optimization and quality performance: