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Health Insurance Exchange

 
November 21, 2014 | Anthony Brino

The Medicaid private option policies designed to insure low-income individuals through a more market-based system is showing early signs of success, but also hurdles.


November 20, 2014 | Anthony Brino

Federal health officials and state exchange leaders may be pleased with enrollment and plan choices in many places, but long-term financing is a puzzle yet to be solved.


November 20, 2014 | Anthony Brino

Provider network controversies from the first Affordable Care Act enrollment are coming back to bite two large Blues in the second open enrollment, while raising questions about responsibility for consumer confusion.


November 19, 2014 | Anthony Brino

Want to pay your health plan premiums while picking up medications, buying some batteries (or maybe a piece of chocolate) and getting a free cholesterol screening? Humana is betting that retail convenience will support its individual membership business.


November 18, 2014 | Anthony Brino

Not only are employers prone to switching their health plans, but more are ending their group health benefits altogether, a sign of the growing importance of the individual market.


November 18, 2014 | Anthony Brino

One of the greatest concerns among patient advocates, regulators and insurers alike is that buying and using a health plan may be too complex a task for some consumers. One state exchange is hoping it found a scalable solution.


November 17, 2014 | Anthony Brino

The nation's highest rated health plan is going through some growing pains and trying to make it to 2015 intact.


November 17, 2014 | Anthony Brino

Nationally, the new individual exchange market seems competitive going into its second year, with a variety of plans and reasonable premium increases. At the local level, though, consumers may experience some havoc.


November 17, 2014 | Phil Galewitz and Anna Gorman

By most accounts, the federal marketplace that handles enrollment for 37 states is running well, but there are still uncertainties, notably millions of confused American consumers. 


November 13, 2014 | Anthony Brino

Though slower than the worst spikes of the last decade, American companies and their workers continue to see healthcare costs increases, putting pressure on insurers to respond with new exchanges and plan designs.


November 13, 2014 | Anthony Brino

In the Affordable Care Act's second enrollment period, insurers and exchange will again try to lure the young adult demographic, a challenge that will test risk adjustment policies and the best minds in marketing.


November 10, 2014 | Anthony Brino

Public exchange shoppers will have more choices this open enrollment period, and in some places, they're being courted with affordability, as insurers try to draw both first-time buyers and membership from rivals.


October 15, 2014 | White Papers
Box brings disparate parties together across the healthcare continuum to better collaborate, share data, and improve care delivery. Box serves providers, payors and life science companies around the world to: - Improve Care Coordination: Box helps coordinate care between doctors and care teams inside and outside of a healthcare organization by streamlining the secure sharing of administrative and patient information. - Mobile Access and HIPAA Security: Provides doctors, researchers, and administrators with a quick way to securely share files that may contain Protected Health Information (PHI) in them. - Accelerate Research: Box allows for secure collaboration across multiple departments inside your organization as well as with outside contracted research partners. - Enhance Sales Productivity: When selling to clinical customers, Box can enhances your sales productivity by making regulated sales and training materials available in real-time to sales reps out in the field.

October 15, 2014 | White Papers
Providing high-quality healthcare is a science--but securely managing the expanding amount of highly personal healthcare content can be an art. As the already-large volumes of healthcare-related data continue to grow, many organizations are turning to the cloud to store, manage and share data. When looking at ways to better share documents and files across healthcare organizations, IT and Security professionals need a cloud-based content management and collaboration platform that offers enterprise-grade security.

October 15, 2014 | White Papers
Hospitals have the need to collaborate internally and externally, respond to the trends of BYOD, consumerization of IT and the availability of free cloud solutions that are accelerating the occurance of Shadow IT which can lead to unintended data loss and HIPAA breaches. Read this inforgraphic to learn about statistics and information around BYOD, how HIPAA breaches affect revenue and reputation loss and ways to combat insecure file sharing.

October 2, 2014 | On Demand Webinars
Hear about one health system’s journey to expanding into the health insurance business and the challenges, opportunities and lessons learned along the way.

September 10, 2014 | White Papers
With the September 22, 2014 deadline to renew existing Business Associate Agreements and comply with updated HIPAA requirements, it’s important that you have the information and tools to take action. View this fact sheet and learn: Key changes from the HIPAA Omnibus final rule, steps you need to take to comply and how DocuSign can help your organization meet the deadline and stay ahead of the curve with HIPAA compliance.

August 27, 2014 | White Papers
New Bedford Corporation was expending too much time and staff manually entering medical charges generated by 50 of its healthcare provider customers into its practice management application. The back-office services provider deployed EnableSoft's Foxtrot to automate the billing data entry process, which resulted in the reduction of data entry time by 5.6 hours per 1,000 records and a savings in human resources equal to two FTEs.

August 27, 2014 | White Papers
Care1st Health Plan experienced a 20,000-member increase as a result of county expansion and the potential for even more members as the new third-party administrator for Arizona's insurance cooperative. In order to automate and expedite burdensome data-entry processes, the health plan implemented EnableSoft's Foxtrot software, which ultimately saved valuable and human resources.

August 27, 2014 | White Papers
Scott & White Health Plan and Insurance Company foresaw increased manual data-entry processes required to accommodate an influx of new members under the Affordable Care Act. The nationally rated health plan's implementation of EnableSoft's Foxtrot software helped to reduce new network set-up time and time to establish new pay classes, while at the same time increasing productivity and scaling operations without increasing staff.

May 19, 2014 | White Papers
If your organization enters or changes data manually, or is using a series of macros cobbled together to automate enrollment, claims reprocessing, or panel updates, you’re probably losing time, money, and risking data quality. This study explores the causes, prevalence, and repercussions of these traditional data practices for payers, then shares innovative ways to conquer inefficiency with automation technology.

March 11, 2014 | White Papers
For health insurers, data integrity and visibility are key to successful integration with the Federal Marketplace. However, complex processes and trivial errors can lead to data gaps that impact revenue, profitability and member satisfaction. Adopting a standarized approach to data integrity early in the process is critical to succesfully adapting to the technologies and processes of the Affordable Care Act.

October 30, 2013 | White Papers
This visual industry primer answers key questions about health insurance exchanges and includes data points from leading consulting firms. Read this piece to get grounded on the new world of health insurance marketplaces, and gets answers to some basic industry questions including: 1) How will people buy health insurance in the post-reform landscape? 2) What’s the difference between defined contribution and defined benefit? 3)How do public and private exchanges differ? 4) How does a single-insurer private exchange work?

October 30, 2013 | White Papers
This summer with the October 1 launch of public health exchanges looming, Array Health surveyed health insurance executives to get their perspective on the changing marketplace. Read this report to discover their opinions on key questions surrounding exchanges including: 1) What percentage of insurers will participate in both private and public exchanges? 2) How aware are employers of the defined contribution funding model? 3) How many “young invincibles” will comply with the ACA individual coverage mandate?

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