Health Insurance Exchange

October 29, 2014 | Anthony Brino

Figuring out when members are covered by different types of insurance can be a struggle, or not even possible. It's a source of waste and confusion that some insurers are trying to root out.

October 28, 2014 | Anthony Brino

UnitedHealth continued its shopping spree on Tuesday with Optum, the group's technology and services subsidiary, agreeing to pay $600 million to acquire Alere Inc.'s condition management and wellness subsidiaries.

October 24, 2014 | Anthony Brino

Just as American society's views and acceptance of transgender issues are evolving, insurers are facing choices, challenges and uncertainty in adapting coverage policies for LGBT.

October 23, 2014 | Anthony Brino

Amid a mulligan of sorts for a large state insurance exchange, an insurer with a new mission is using the old tactic of tapping brokers in a bid to vie in the big leagues.

October 22, 2014 | Anthony Brino

Will the pay-ins and payouts in the 3Rs be enough to leave insurers, and the programs, whole? Early data is offering a window into the possible dynamics. 

October 22, 2014 | Anthony Brino

An established but growing player in the health insurance technology space is looking to get big and serious.

October 21, 2014 | Anthony Brino

"Isn't that covered by ObamaCare?" Public understanding of the Affordable Care Act has not been great, with a fair amount of confusion about key provisions and benefits detected by surveys.

October 17, 2014 | Anthony Brino

Passing a key corporate milestone, UnitedHealth Group is on track to have a banner year, while trying to reshape large swaths of American healthcare.

October 16, 2014 | Anthony Brino

As a microcosm of American health insurance markets, with both old and new regulations and business trends, one corner of the country offers a window into the future.

October 14, 2014 | Anthony Brino

Some health systems are seeing value in becoming part of branded health plan networks for limited provider plans, as other providers try to launch their very own plans.

October 14, 2014 | Anthony Brino

It's almost game day for the second season of ACA insurance exchanges, and insurers need to get ready to handle all sorts of consumer inquiries and administrative tasks.

October 8, 2014 | Anthony Brino

In a new market for western Pennsylvania healthcare lives, Highmark and UPMC are finding old disputes lurking, adding to consumer confusion amid a new product launch and open enrollment.

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 7, 2014 | White Papers
Facilitate collaboration and productivity by providing "anywhere access" to documents and files. As a HIPAA compliant platform, Box's affordability and simplicity promote widespread stakeholder adoption, especially for the increasingly mobile healthcare workforce. Eliminate Shadow IT and inadequate file sharing, improve collaboration, provide mobile access to critical information.

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?


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